MEDICARE: PS HOME HEALTH CARE SERVICES, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841246345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PS HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	5979 E LIVINGSTON AVE
Second Line	:	SU 201
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2908
Country	:	US
Telephone Number	:	614-937-2434
Fax Number	:	614-759-6878

Provider Business Practice Location Address
First Line	:	5979 E LIVINGSTON AVE
Second Line	:	SU 201
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2908
Country	:	US
Telephone Number	:	614-937-2434
Fax Number	:	614-759-6878

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MRS. ELLA PATRICIA STEWART
Credential	:	RN
Telephone Number	:	614-937-2434

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/01/2013

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