MEDICARE: OCAL HOME HEALTH 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881475903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCAL HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	4150 BELDEN VILLAGE ST NW STE 600
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-3651
Country	:	US
Telephone Number	:	330-417-7533
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 BELDEN VILLAGE ST NW STE 600
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-3651
Country	:	US
Telephone Number	:	330-417-7533
Fax Number	:

Authorized Official
Title or Position	:	CHIEF NURSING OFFICER/CO OWNER
Name	:	DEBORAH ANN POSTLEWAITE
Credential	:	RN
Telephone Number	:	330-417-7533

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	12/07/2023

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Directions to “OCAL HOME HEALTH LLC ” Practice Location

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