MEDICARE: SARENITY 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	:	1346658267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARENITY HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	901 ROBINWOOD AVE
Second Line	:	BUILDING F
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1781
Country	:	US
Telephone Number	:	614-209-5752
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 ROBINWOOD AVE
Second Line	:	BUILDING F
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1781
Country	:	US
Telephone Number	:	614-209-5752
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. GLADYS M GORDON
Credential	:
Telephone Number	:	614-209-5752

Provider Enumeration Date	:	07/23/2014
Last Update Date	:	07/23/2014

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