MEDICARE: OHIO ADVOCATES FOR HOME HEALTH CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171W00000X	Contractor
2	174200000X	Meals Provider
3	225800000X	Recreation Therapist
4	251E00000X	Home Health Agency
5	372500000X	Chore Provider
6	372600000X	Adult Companion
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861172280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO ADVOCATES FOR HOME HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2105 ALPENA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2635
Country	:	US
Telephone Number	:	937-604-6741
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 ALPENA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2635
Country	:	US
Telephone Number	:	937-604-6741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CEDRIC J MCCLENDON
Credential	:
Telephone Number	:	937-604-6741

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	07/20/2023

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