MEDICARE: JASPER HOME HEALTH CARE, 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	:	1881296200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASPER HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	1821 SUMMIT RD STE 118
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2818
Country	:	US
Telephone Number	:	216-352-5912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 SUMMIT RD STE 118
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2818
Country	:	US
Telephone Number	:	216-352-5912
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MS. HAMDI SAID
Credential	:
Telephone Number	:	614-359-5769

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	11/10/2020

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