MEDICARE: ADVOCARE HOME HEATH SERVICES

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	:	1114770013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCARE HOME HEATH SERVICES

Provider Business Mailing Address
First Line	:	9565 PINEWOOD CT
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-9478
Country	:	US
Telephone Number	:	614-707-3916
Fax Number	:	614-895-1784

Provider Business Practice Location Address
First Line	:	5300 E MAIN ST STE 106
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-2580
Country	:	US
Telephone Number	:	614-707-3916
Fax Number	:	614-895-1784

Authorized Official
Title or Position	:	ADMIN
Name	:	YASMINE I ALI
Credential	:	ADMIN
Telephone Number	:	614-707-3916

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/09/2024

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