MEDICARE: HOME CARE NETWORK, 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	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	:	1649300062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE NETWORK, INC.

Provider Business Mailing Address
First Line	:	190A EAST SPRING VALLEY RD
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458
Country	:	US
Telephone Number	:	937-435-1142
Fax Number	:	937-435-3374

Provider Business Practice Location Address
First Line	:	8150 CORPORATE PARK DR
Second Line	:	SUITE 222
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3312
Country	:	US
Telephone Number	:	513-469-6334
Fax Number	:	513-469-1271

Authorized Official
Title or Position	:	VP
Name	:	JUDY MARKUSIC
Credential	:	RN
Telephone Number	:	937-435-1142

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	02/28/2008

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