MEDICARE: WE CARE HEALTHCARE AGENCY 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	2012139	OH

General Provider Information

NPI Number	:	1548545775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE HEALTHCARE AGENCY LLC

Provider Business Mailing Address
First Line	:	4449 EASTON WAY FL 2
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-7005
Country	:	US
Telephone Number	:	614-934-1253
Fax Number	:	614-934-1624

Provider Business Practice Location Address
First Line	:	4449 EASTON WAY FL 2
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-7005
Country	:	US
Telephone Number	:	614-934-1253
Fax Number	:	614-934-1624

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LORI J LEE
Credential	:
Telephone Number	:	614-934-1253

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	11/02/2011

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