MEDICARE: HOMEREACH

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	335E00000X	Prosthetic/Orthotic Supplier

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	:	1740643212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEREACH

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 100
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4135
Country	:	US
Telephone Number	:	614-566-0850
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 OLENTANGY RIVER RD STE A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3455
Country	:	US
Telephone Number	:	614-566-0888
Fax Number	:

Authorized Official
Title or Position	:	SR VP REGIONAL OPERATIONS
Name	:	CHERYL HERBERT
Credential	:
Telephone Number	:	614-544-4066

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	08/23/2021

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Directions to “HOMEREACH ” Practice Location

Language	Start Address	Practice Location

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