MEDICARE: REST ASSURED HOME 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

General Provider Information

NPI Number	:	1700698446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REST ASSURED HOME CARE LLC

Provider Business Mailing Address
First Line	:	6151 FAIRCREST CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2601
Country	:	US
Telephone Number	:	513-904-0452
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 FAIRCREST CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2601
Country	:	US
Telephone Number	:	513-904-0452
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SYREETA RUSSELL
Credential	:	LPN
Telephone Number	:	513-904-0452

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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