MEDICARE: HUFFMAN HEALTH CARE, INC.

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	314000000X	Skilled Nursing Facility	6235	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043209828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUFFMAN HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	20 LIVINGSTON AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-2938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 LIVINGSTON AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-2938
Country	:	US
Telephone Number	:	937-476-1000
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	TONEY VICARS
Credential	:
Telephone Number	:	513-541-4600

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	08/22/2020

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Directions to “HUFFMAN HEALTH CARE, INC. ” Practice Location

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