MEDICARE: DAMASCUS STAFFING, 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	251F00000X	Home Infusion Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942770359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAMASCUS STAFFING, LLC

Provider Business Mailing Address
First Line	:	1832 FREEMAN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-2117
Country	:	US
Telephone Number	:	513-954-8941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1832 FREEMAN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-2117
Country	:	US
Telephone Number	:	513-954-8941
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	TOM HERZOG
Credential	:
Telephone Number	:	513-954-8941

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	11/28/2018

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