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NPI Code Detail

MEDICARE: AHF OHIO, INC.

MEDICARE: AHF OHIO, 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
1310400000XAssisted Living Facility
2314000000XSkilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number : 1578917670
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHF OHIO, INC.
Provider Business Mailing Address
First Line : 5920 VENTURE DR
Second Line : SUITE 100
City : DUBLIN
State : OH
Zip : 43017-2166
Country : US
Telephone Number : 614-760-7352
Fax Number : 614-760-7356
Provider Business Practice Location Address
First Line : 264 WILMINGTON AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1989
Country : US
Telephone Number : 937-256-4663
Fax Number : 937-558-1810
Authorized Official
Title or Position : PRESIDENT
Name : MR. MARK T HAEMMERLE
Credential :
Telephone Number : 614-799-4451
Provider Enumeration Date : 04/15/2016
Last Update Date : 05/10/2023

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