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NPI Code Detail

MEDICARE: AMERICARE PASSPORT SENIOR OPTIONS INC

MEDICARE: AMERICARE PASSPORT SENIOR OPTIONS INC
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
1251E00000XHome Health Agency2044150OH

General Provider Information

NPI Number : 1831469527
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICARE PASSPORT SENIOR OPTIONS INC
Provider Business Mailing Address
First Line : 1279 E DUBLIN GRANVILLE RD FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3300
Country : US
Telephone Number : 614-273-0086
Fax Number : 614-273-0158
Provider Business Practice Location Address
First Line : 1279 E DUBLIN GRANVILLE RD FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3300
Country : US
Telephone Number : 614-273-0086
Fax Number : 614-273-0158
Authorized Official
Title or Position : PRESIDENT
Name : NNENNA NDUKWE
Credential : RN
Telephone Number : 614-273-0086
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “AMERICARE PASSPORT SENIOR OPTIONS INC ” Practice Location

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