MEDICARE: ALL STAR 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		OH

General Provider Information

NPI Number	:	1730604158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STAR HOME CARE, LLC

Provider Business Mailing Address
First Line	:	5900 SHARON WOODS BLVD STE F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2600
Country	:	US
Telephone Number	:	614-218-8417
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 SHARON WOODS BLVD STE F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2600
Country	:	US
Telephone Number	:	614-218-8417
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ABDIRAHMAN M AHMED
Credential	:
Telephone Number	:	952-201-0584

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	07/21/2022

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