MEDICARE: ALLIED FAMILY SERVICES OF OHIO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency
3	251S00000X	Community/Behavioral Health Agency
4	251X00000X	Supports Brokerage Agency
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6	385H00000X	Respite Care
7	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
8	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003472655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED FAMILY SERVICES OF OHIO, LLC

Provider Business Mailing Address
First Line	:	6082 ASH HILL CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6663
Country	:	US
Telephone Number	:	513-828-8852
Fax Number	:

Provider Business Practice Location Address
First Line	:	6082 ASH HILL CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6663
Country	:	US
Telephone Number	:	513-828-8852
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRINA MATHEWS WALTON
Credential	:
Telephone Number	:	513-828-8852

Provider Enumeration Date	:	05/18/2019
Last Update Date	:	05/18/2019

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Directions to “ALLIED FAMILY SERVICES OF OHIO, LLC ” Practice Location

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