MEDICARE: ABC HOME HEALTH CARE 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	:	1801078233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2021 E DUBLIN GRANVILLE RD
Second Line	:	SUITE 165
City	:	COLUMBUS
State	:	OH
Zip	:	43229-0001
Country	:	US
Telephone Number	:	614-888-1100
Fax Number	:	614-888-1101

Provider Business Practice Location Address
First Line	:	2021 E DUBLIN GRANVILLE RD
Second Line	:	SUITE 165
City	:	COLUMBUS
State	:	OH
Zip	:	43229-0001
Country	:	US
Telephone Number	:	614-888-1100
Fax Number	:	614-888-1101

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ABDIHAKIM Y HASSAN
Credential	:
Telephone Number	:	614-622-9860

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	07/11/2008

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