MEDICARE: MULTICARE HOME HEALTH 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

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	:	1821310822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTICARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	27691 EUCLID AVE
Second Line	:	B-1
City	:	EUCLID
State	:	OH
Zip	:	44132-3550
Country	:	US
Telephone Number	:	216-731-8900
Fax Number	:	216-731-8972

Provider Business Practice Location Address
First Line	:	27691 EUCLID AVE
Second Line	:	B-1
City	:	EUCLID
State	:	OH
Zip	:	44132-3550
Country	:	US
Telephone Number	:	216-731-8900
Fax Number	:	216-731-8972

Authorized Official
Title or Position	:	CFO
Name	:	MR. JOHNNY KENNETH HENDERSON
Credential	:
Telephone Number	:	216-731-8900

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	02/18/2010

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Directions to “MULTICARE HOME HEALTH LLC ” Practice Location

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