MEDICARE: EPILOGUE 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	0790532	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417185422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPILOGUE INC.

Provider Business Mailing Address
First Line	:	12333 RIDGE ROAD
Second Line	:	SUITE 5
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133
Country	:	US
Telephone Number	:	440-582-8035
Fax Number	:

Provider Business Practice Location Address
First Line	:	12333 RIDGE RD STE 5
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3766
Country	:	US
Telephone Number	:	440-582-8035
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. RICHARD BUESCH
Credential	:	RN
Telephone Number	:	440-582-8035

Provider Enumeration Date	:	06/29/2009
Last Update Date	:	06/29/2009

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Directions to “EPILOGUE INC. ” Practice Location

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