MEDICARE: COLUMBUS HOME HEALTHCARE SERVICES,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		OH

General Provider Information

NPI Number	:	1245557164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS HOME HEALTHCARE SERVICES,LLC

Provider Business Mailing Address
First Line	:	50 OLD VILLAGE RD STE 205
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-5504
Country	:	US
Telephone Number	:	614-378-6998
Fax Number	:	614-876-9359

Provider Business Practice Location Address
First Line	:	50 OLD VILLAGE RD STE 205
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-5504
Country	:	US
Telephone Number	:	614-378-6998
Fax Number	:	614-876-9359

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MUNA ALNOUBANI
Credential	:
Telephone Number	:	614-378-6998

Provider Enumeration Date	:	05/02/2010
Last Update Date	:	05/02/2010

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