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NPI Code Detail

MEDICARE: SAFE CHOICE HOME HEALTH CARE LLC

MEDICARE: SAFE CHOICE HOME HEALTH 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1366397853
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE CHOICE HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 2144 RIVERDALE SQ W
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4063
Country : US
Telephone Number : 312-532-6886
Fax Number :
Provider Business Practice Location Address
First Line : 2144 RIVERDALE SQ W
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4063
Country : US
Telephone Number : 312-532-6886
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MRS. SHALLOTE FONCHAM AGUM
Credential : CEO
Telephone Number : 312-532-6886
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “SAFE CHOICE HOME HEALTH CARE LLC ” Practice Location

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