MEDICARE: STAT HOME HEALTH & NURSING 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	251E00000X	Home Health Agency	367776	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21984030	OTHER	OH	PASSPORT APPROVED AGENCY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154326734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAT HOME HEALTH & NURSING CARE, INC.

Provider Business Mailing Address
First Line	:	8730 OHIO RIVER RD
Second Line	:
City	:	WHEELERSBURG
State	:	OH
Zip	:	45694-1918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8730 OHIO RIVER RD
Second Line	:
City	:	WHEELERSBURG
State	:	OH
Zip	:	45694-1918
Country	:	US
Telephone Number	:	740-574-1907
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHARLES W ZUHARS
Credential	:	RRT
Telephone Number	:	740-574-1907

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/22/2020

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