MEDICARE: THE HOMESTEAD OF COSHOCTON

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1700712817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOMESTEAD OF COSHOCTON

Provider Business Mailing Address
First Line	:	48241 GENESIS DRIVE
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812
Country	:	US
Telephone Number	:	740-295-8880
Fax Number	:	330-299-8568

Provider Business Practice Location Address
First Line	:	48241 GENESIS DRIVE
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812
Country	:	US
Telephone Number	:	740-295-8880
Fax Number	:	330-299-8568

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TANA FISCHER
Credential	:	RN, CEAL, CDP
Telephone Number	:	740-502-6949

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “THE HOMESTEAD OF COSHOCTON ” Practice Location

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