MEDICARE: NEW ERA HOME HEALTH CARE 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	:	1134352040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ERA HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2242 S HAMILTON RD
Second Line	:	SUITE 102
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2242 S HAMILTON RD
Second Line	:	SUITE 102
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4300
Country	:	US
Telephone Number	:	614-863-7552
Fax Number	:	614-863-7595

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK E ODEMENA
Credential	:	BSC, RN
Telephone Number	:	614-863-7552

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	08/26/2009

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