MEDICARE: FA HOME HEALTH & TRANSPORTATION

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	:	1598577090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FA HOME HEALTH & TRANSPORTATION

Provider Business Mailing Address
First Line	:	3179 CLEVELAND AVE STE 6B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3606
Country	:	US
Telephone Number	:	614-284-0229
Fax Number	:	614-284-0229

Provider Business Practice Location Address
First Line	:	3179 CLEVELAND AVE STE 6B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3606
Country	:	US
Telephone Number	:	614-284-0229
Fax Number	:	614-284-0229

Authorized Official
Title or Position	:	OWNER
Name	:	ABDIRAHMAN MOHAMED
Credential	:
Telephone Number	:	614-284-0229

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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Directions to “FA HOME HEALTH & TRANSPORTATION ” Practice Location

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