MEDICARE: EXCLUSIVE HOME HEALTH CARE LIMITED

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	:	1750667085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCLUSIVE HOME HEALTH CARE LIMITED

Provider Business Mailing Address
First Line	:	6119 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6119 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3358
Country	:	US
Telephone Number	:	614-377-0399
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SULAIMAN BASIR
Credential	:
Telephone Number	:	614-337-0399

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	11/01/2011

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Directions to “EXCLUSIVE HOME HEALTH CARE LIMITED ” Practice Location

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