MEDICARE: AMERIKA FAMILY HOME HEALTH AGENCY 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	:	1760786313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIKA FAMILY HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	1782 FRANKLIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2216
Country	:	US
Telephone Number	:	614-288-6575
Fax Number	:	740-549-7570

Provider Business Practice Location Address
First Line	:	1782 FRANKLIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2216
Country	:	US
Telephone Number	:	614-288-6575
Fax Number	:	740-549-7570

Authorized Official
Title or Position	:	CFO
Name	:	JACQUELINE REED
Credential	:
Telephone Number	:	614-288-6575

Provider Enumeration Date	:	12/22/2010
Last Update Date	:	12/22/2010

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