MEDICARE: EXCELLENT HOME CARE SERVICES OF OHIO 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1871449348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELLENT HOME CARE SERVICES OF OHIO LLC

Provider Business Mailing Address
First Line	:	6344 ROYAL TERN XING
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-6437
Country	:	US
Telephone Number	:	740-564-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	6344 ROYAL TERN XING
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-6437
Country	:	US
Telephone Number	:	740-564-7878
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ISAAC AYERTEY
Credential	:
Telephone Number	:	740-564-7878

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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