MEDICARE: CITY HOME HEALTH CARE 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	:	1952524068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2021 E DUBLIN GRANVILLE RD
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3568
Country	:	US
Telephone Number	:	614-430-8740
Fax Number	:	614-372-8091

Provider Business Practice Location Address
First Line	:	2021 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3568
Country	:	US
Telephone Number	:	614-430-8740
Fax Number	:	614-372-8091

Authorized Official
Title or Position	:	DIRECTOR,CEO,OWNER
Name	:	MS. CASHARION KIRK
Credential	:	RN
Telephone Number	:	614-531-0776

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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