=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710868385
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A BEST HOME CARE SKILLED INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2025
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9200 MONTGOMERY RD STE 2B
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45242-7730
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-204-0130
-----------------------------------------------------
Fax | 513-672-2028
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3448 MUSGROVE RD
-----------------------------------------------------
City | WILLIAMSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45176-9114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-314-6294
-----------------------------------------------------
Fax | 513-672-2028
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | YELIZAVETA MOROZOVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-314-6294
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------