MEDICARE: OHANA HOME HEALTHCARE 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
1	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619731023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHANA HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1840 LYONS RD STE B
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 LYONS RD STE B
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1839
Country	:	US
Telephone Number	:	937-477-0520
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	MAJD SCHISHA
Credential	:
Telephone Number	:	937-477-0520

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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Directions to “OHANA HOME HEALTHCARE INC ” Practice Location

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