MEDICARE: PROFICIENT HOME CARE INC.

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	:	1366764037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFICIENT HOME CARE INC.

Provider Business Mailing Address
First Line	:	24000 MERCANTILE RD STE 1
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5913
Country	:	US
Telephone Number	:	440-715-0573
Fax Number	:	216-663-2440

Provider Business Practice Location Address
First Line	:	24000 MERCANTILE RD STE 1
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5913
Country	:	US
Telephone Number	:	440-715-0573
Fax Number	:	216-663-2440

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. INGA GOLUBITSKY
Credential	:
Telephone Number	:	440-715-0573

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	08/24/2010

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