MEDICARE: ENUFF-SED HOME HEALTH CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609418060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENUFF-SED HOME HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1717 BRITTAIN RD STE 101
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1822
Country	:	US
Telephone Number	:	234-208-6346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 BRITTAIN RD STE 101
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1822
Country	:	US
Telephone Number	:	234-208-6346
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANDREA DENISE CHILDS
Credential	:
Telephone Number	:	234-863-5731

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	01/24/2025

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