MEDICARE: ALFA HOME HEALTHCARE, 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	:	1518206937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFA HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	2586 TILLER LN
Second Line	:	STE #2F
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-794-0021
Fax Number	:	614-794-0022

Provider Business Practice Location Address
First Line	:	2586 TILLER LN
Second Line	:	STE #2F
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-794-0021
Fax Number	:	614-794-0022

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	BAHILO SHIRWA
Credential	:
Telephone Number	:	614-794-0021

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	08/13/2020

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