MEDICARE: OHIO SENIOR 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	1789692	OH

General Provider Information

NPI Number	:	1881839306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO SENIOR HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6004 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2230
Country	:	US
Telephone Number	:	614-470-6070
Fax Number	:

Provider Business Practice Location Address
First Line	:	6004 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2230
Country	:	US
Telephone Number	:	614-470-6070
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAEED H ALI
Credential	:
Telephone Number	:	614-470-6070

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	05/17/2012

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