MEDICARE: PEOPLEFIRST HOMECARE & HOSPICE OF OHIO, 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	251G00000X	Community Based Hospice Care Agency	0219HSP	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	:	1720444177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLEFIRST HOMECARE & HOSPICE OF OHIO, LLC

Provider Business Mailing Address
First Line	:	655 BRAWLEY SCHOOL RD STE 200
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9601
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	704-664-1306

Provider Business Practice Location Address
First Line	:	4401 ROCKSIDE RD STE 214
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2147
Country	:	US
Telephone Number	:	216-642-1297
Fax Number	:	216-642-1932

Authorized Official
Title or Position	:	VP OF LICENSURE
Name	:	JANET COMBS
Credential	:
Telephone Number	:	704-662-1761

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	01/11/2023

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