MEDICARE: ALTERNATIVE HOME HEALTH AGENCY LLC

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	:	1023615978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	1395 E DUBLIN GRANVILLE RD STE 418
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3329
Country	:	US
Telephone Number	:	614-826-7448
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 E DUBLIN GRANVILLE RD STE 418
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3329
Country	:	US
Telephone Number	:	614-826-7448
Fax Number	:	614-826-7449

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OMER MOHAMED
Credential	:
Telephone Number	:	614-826-7448

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	10/24/2023

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