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NPI Code Detail

MEDICARE: AT HOME SENIOR CONCIERGE SERVICES LLC

MEDICARE: AT HOME SENIOR CONCIERGE 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
1372500000XChore Provider

General Provider Information

NPI Number : 1245954437
Entity Type Code : Organization
Provider Name (Legal Business Name) : AT HOME SENIOR CONCIERGE SERVICES LLC
Provider Business Mailing Address
First Line : 3518 EDWARDS RD STE B
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1357
Country : US
Telephone Number : 513-289-2238
Fax Number :
Provider Business Practice Location Address
First Line : 3518 EDWARDS RD STE B
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1357
Country : US
Telephone Number : 513-289-2238
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHAKELA JADE WALKER
Credential :
Telephone Number : 513-289-2238
Provider Enumeration Date : 09/30/2022
Last Update Date : 09/30/2022

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Directions to “AT HOME SENIOR CONCIERGE SERVICES LLC ” Practice Location

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