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NPI Code Detail

MEDICARE: FOREVER FAITHFUL HOME HEALTHCARE AGENCY LLC

MEDICARE: FOREVER FAITHFUL HOME HEALTHCARE AGENCY 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
1104100000XSocial Worker
2172A00000XDriver
3174200000XMeals Provider
4251E00000XHome Health Agency
5310400000XAssisted Living Facility
63104A0630XAssisted Living Facility (Behavioral Disturbances)
7372500000XChore Provider
8374U00000XHome Health Aide
9376J00000XHomemaker
10253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1891250833
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREVER FAITHFUL HOME HEALTHCARE AGENCY LLC
Provider Business Mailing Address
First Line : 9882 VOYAGER WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45252-1992
Country : US
Telephone Number : 614-323-1222
Fax Number :
Provider Business Practice Location Address
First Line : 9882 VOYAGER WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45252-1992
Country : US
Telephone Number : 614-323-1222
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS MANAGEMENT
Name : MR. OSCAR FOREMAN III
Credential :
Telephone Number : 513-407-5737
Provider Enumeration Date : 02/04/2019
Last Update Date : 11/25/2020

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Directions to “FOREVER FAITHFUL HOME HEALTHCARE AGENCY LLC ” Practice Location

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