MEDICARE: WELCOME HOME HEALTHCARE

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		OH

General Provider Information

NPI Number	:	1609105758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELCOME HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	15600 RAMAGE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-4052
Country	:	US
Telephone Number	:	216-376-3808
Fax Number	:

Provider Business Practice Location Address
First Line	:	15600 RAMAGE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-4052
Country	:	US
Telephone Number	:	216-376-3808
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. FONDALISA Y. SMART
Credential	:	LPN
Telephone Number	:	216-376-3808

Provider Enumeration Date	:	12/21/2009
Last Update Date	:	12/21/2009

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Directions to “WELCOME HOME HEALTHCARE ” Practice Location

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