MEDICARE: ALFA HOME HEALTHCARE PLUS 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	:	1801276803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFA HOME HEALTHCARE PLUS LLC

Provider Business Mailing Address
First Line	:	2586 TILLER LN STE 2F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-794-0021
Fax Number	:	614-794-0022

Provider Business Practice Location Address
First Line	:	2586 TILLER LN STE 2F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-794-0021
Fax Number	:	614-794-0022

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	AMINA O ABDI
Credential	:
Telephone Number	:	614-794-0021

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	06/04/2015

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