MEDICARE: INREX HOME 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	251C00000X	Developmentally Disabled Services Day Training Agency	2552107	OH
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1720332521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INREX HOME CARE, LLC

Provider Business Mailing Address
First Line	:	6164 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-1614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6164 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-1614
Country	:	US
Telephone Number	:	614-891-6594
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ANTONY G NJAGI
Credential	:
Telephone Number	:	614-891-6594

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	10/31/2012

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