MEDICARE: RESTORATION HOME HEALTH CARE LLC

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	2171087	OH

General Provider Information

NPI Number	:	1609116342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5969 E LIVINGSTON AVE
Second Line	:	SUITE 107
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2907
Country	:	US
Telephone Number	:	614-866-0195
Fax Number	:	614-866-0215

Provider Business Practice Location Address
First Line	:	5969 E LIVINGSTON AVE
Second Line	:	SUITE 107
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2907
Country	:	US
Telephone Number	:	614-866-0195
Fax Number	:	614-866-0215

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOEL YERBO
Credential	:
Telephone Number	:	614-625-5304

Provider Enumeration Date	:	02/17/2013
Last Update Date	:	06/12/2015

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