MEDICARE: GOODHEARTS HOME HEALTH 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	:	1255149183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODHEARTS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1495 MORSE RD STE 311
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6438
Country	:	US
Telephone Number	:	614-615-2858
Fax Number	:	614-615-2858

Provider Business Practice Location Address
First Line	:	1495 MORSE RD STE 311
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6438
Country	:	US
Telephone Number	:	614-615-2858
Fax Number	:	614-615-2858

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AWES H KOSHIN
Credential	:
Telephone Number	:	614-615-2858

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	01/06/2025

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Directions to “GOODHEARTS HOME HEALTH LLC ” Practice Location

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