=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639060775
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE AT HOME OH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2025
-----------------------------------------------------
Last Update Date | 07/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 N HIGH ST STE 200
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215-3497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 848-224-3500
-----------------------------------------------------
Fax | 848-224-3500
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1005 BROADWAY
-----------------------------------------------------
City | WOODMERE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11598-1227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-916-7949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE MBR
-----------------------------------------------------
Name | MARK STEG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-916-7949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------