MEDICARE: AC 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	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1679842249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AC HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2525 TILLER LN
Second Line	:	STE 203
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2267
Country	:	US
Telephone Number	:	614-805-0217
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 TILLER LN
Second Line	:	STE 203
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2267
Country	:	US
Telephone Number	:	614-805-0217
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MOHAMED HUSSEIN
Credential	:
Telephone Number	:	614-805-0217

Provider Enumeration Date	:	12/27/2011
Last Update Date	:	12/27/2011

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