MEDICARE: STAY AT 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	:	1144552605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAY AT HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	4937 W BROAD ST
Second Line	:	SUITE 304-305
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1646
Country	:	US
Telephone Number	:	614-385-8620
Fax Number	:	614-385-8621

Provider Business Practice Location Address
First Line	:	4937 W BROAD ST
Second Line	:	SUITE 304-305
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1646
Country	:	US
Telephone Number	:	614-385-8620
Fax Number	:	614-385-8621

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAMUEL CAVAN SCHLOSSER
Credential	:
Telephone Number	:	614-385-8620

Provider Enumeration Date	:	02/09/2010
Last Update Date	:	02/06/2012

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Directions to “STAY AT HOME HEALTH CARE LLC ” Practice Location

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