MEDICARE: MEDIC HOME HEALTH CARE, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	02-0998700	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679749030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIC HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	2800 CLEVELAND AVE N
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-1126
Country	:	US
Telephone Number	:	440-449-7727
Fax Number	:	440-449-7725

Provider Business Practice Location Address
First Line	:	760 BETA DR STE A
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-2334
Country	:	US
Telephone Number	:	440-449-7727
Fax Number	:	440-449-7725

Authorized Official
Title or Position	:	CAO
Name	:	CAMEO ZEHNDER
Credential	:
Telephone Number	:	651-642-1825

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	02/17/2026

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Directions to “MEDIC HOME HEALTH CARE, LLC ” Practice Location

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