MEDICARE: HANDS WITH GRACE HOME 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1326726340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS WITH GRACE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	6609 COLERIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-1936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6609 COLERIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-1936
Country	:	US
Telephone Number	:	443-788-0930
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY SMITH
Credential	:
Telephone Number	:	443-788-0930

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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Directions to “HANDS WITH GRACE HOME CARE, LLC ” Practice Location

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