MEDICARE: RX HOME HEALTHCARE INC

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	:	1750397550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2020 CARNEGIE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2337
Country	:	US
Telephone Number	:	216-295-0056
Fax Number	:	216-295-0146

Provider Business Practice Location Address
First Line	:	2020 CARNEGIE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2337
Country	:	US
Telephone Number	:	216-295-0056
Fax Number	:	216-295-0146

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. LEMMA M GETACHEW
Credential	:	R.PH
Telephone Number	:	216-295-0056

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/31/2016

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