MEDICARE: NEW ALBANY HOME HEALTH SOLUTIONS, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	302R00000X	Health Maintenance Organization
2	305R00000X	Preferred Provider Organization
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1174816391	OTHER	OH	NPI I

General Provider Information

NPI Number	:	1912272006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ALBANY HOME HEALTH SOLUTIONS, LLC.

Provider Business Mailing Address
First Line	:	4754 SCARLET ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1452
Country	:	US
Telephone Number	:	614-557-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	4754 SCARLET ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1452
Country	:	US
Telephone Number	:	614-557-1145
Fax Number	:	614-283-5084

Authorized Official
Title or Position	:	CEO
Name	:	DR. TINA ANN WADE-HAIRSTON
Credential	:	PHD
Telephone Number	:	614-557-1145

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

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