MEDICARE: HONOR & COMPASSION HOMECARE, 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)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396294112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONOR & COMPASSION HOMECARE, LLC

Provider Business Mailing Address
First Line	:	5365 E 134TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-3209
Country	:	US
Telephone Number	:	844-400-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5365 E 134TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-3209
Country	:	US
Telephone Number	:	844-400-3800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MRS. ERICKA L ABRAMS
Credential	:	MPH
Telephone Number	:	216-407-0960

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

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