MEDICARE: OHIO STATE HOME HEALTH CARE

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	RN348869	OH

General Provider Information

NPI Number	:	1588947535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO STATE HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	1584 DENBIGH DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2658
Country	:	US
Telephone Number	:	614-477-7021
Fax Number	:

Provider Business Practice Location Address
First Line	:	1584 DENBIGH DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2658
Country	:	US
Telephone Number	:	614-477-7021
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HENOK TEFERA
Credential	:	RN
Telephone Number	:	614-477-7021

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	09/27/2011

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Directions to “OHIO STATE HOME HEALTH CARE ” Practice Location

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