MEDICARE: MILAN 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1336906106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILAN HOME CARE LLC

Provider Business Mailing Address
First Line	:	550 E 29TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16504-1114
Country	:	US
Telephone Number	:	814-780-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 E 29TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16504-1114
Country	:	US
Telephone Number	:	814-780-2688
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALI ALNASHMI
Credential	:
Telephone Number	:	814-780-2688

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	02/28/2024

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