MEDICARE: YOUR AMERICAN HOME HEALTH CARE

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	:	1003183609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR AMERICAN HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	3141 ZACH CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-5013
Country	:	US
Telephone Number	:	614-668-0844
Fax Number	:

Provider Business Practice Location Address
First Line	:	3141 ZACH CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-5013
Country	:	US
Telephone Number	:	614-668-0844
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LORD KORANTENG
Credential	:
Telephone Number	:	614-668-0844

Provider Enumeration Date	:	11/27/2011
Last Update Date	:	11/27/2011

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Directions to “YOUR AMERICAN HOME HEALTH CARE ” Practice Location

Language	Start Address	Practice Location

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