MEDICARE: ERIN JOYS HOME HEALTHCARE 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639534639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIN JOYS HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	9613 TABERNA LN
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-4260
Country	:	US
Telephone Number	:	330-614-4093
Fax Number	:

Provider Business Practice Location Address
First Line	:	9613 TABERNA LN
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-4260
Country	:	US
Telephone Number	:	330-614-4093
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ERIN JOY MACAIONE
Credential	:	LPN
Telephone Number	:	330-614-4093

Provider Enumeration Date	:	12/18/2015
Last Update Date	:	12/18/2015

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