MEDICARE: DIRECT CARE HOME HEALTH 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	:	1902580335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT CARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	5006 MAGNOLIA BLOSSOM BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 MAGNOLIA BLOSSOM BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1029
Country	:	US
Telephone Number	:	614-804-7375
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AMAL ABDULLAHI
Credential	:
Telephone Number	:	614-804-7375

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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Directions to “DIRECT CARE HOME HEALTH LLC ” Practice Location

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