MEDICARE: YOUSEF SAMHAN

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1629817507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUSEF SAMHAN

Provider Business Mailing Address
First Line	:	5444 FENWICK AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1108
Country	:	US
Telephone Number	:	937-222-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 FENWICK AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1108
Country	:	US
Telephone Number	:	937-222-1222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	01/21/2026

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