MEDICARE: CAREMASTERS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477037398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMASTERS HOMECARE LLC

Provider Business Mailing Address
First Line	:	1042 FUHRMAN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 FUHRMAN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3936
Country	:	US
Telephone Number	:	937-580-1098
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STEPHEN ELLISON
Credential	:
Telephone Number	:	513-257-9418

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	09/17/2018

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