MEDICARE: CAPITAL CITY HOME HEALTH CONNECTIONS, 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	:	1760652572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CITY HOME HEALTH CONNECTIONS, LLC.

Provider Business Mailing Address
First Line	:	3443 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-237-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-237-2277
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOANN ANDERSON
Credential	:
Telephone Number	:	614-746-9260

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	03/07/2008

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