MEDICARE: ACCREDITED HOME IMPROVEMENT

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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1578269361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCREDITED HOME IMPROVEMENT

Provider Business Mailing Address
First Line	:	PO BOX 2615
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43216-2615
Country	:	US
Telephone Number	:	614-260-1300
Fax Number	:	614-669-8122

Provider Business Practice Location Address
First Line	:	2587 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-2555
Country	:	US
Telephone Number	:	614-260-1300
Fax Number	:	614-669-8122

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT PREVITS
Credential	:
Telephone Number	:	614-260-1300

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

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Directions to “ACCREDITED HOME IMPROVEMENT ” Practice Location

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