MEDICARE: QUALITY HOMECARE OPTIONS

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

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	:	1780991018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOMECARE OPTIONS

Provider Business Mailing Address
First Line	:	63 W MAIN ST
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-5005
Country	:	US
Telephone Number	:	614-208-9682
Fax Number	:

Provider Business Practice Location Address
First Line	:	4523 CHRISTINA LN
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-4127
Country	:	US
Telephone Number	:	614-208-9682
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LATONGA N. MALONE
Credential	:
Telephone Number	:	614-208-9682

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	08/14/2012

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Directions to “QUALITY HOMECARE OPTIONS ” Practice Location

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