MEDICARE: PEOPLEFIRST HOMECARE & HOSPICE 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	251G00000X	Community Based Hospice Care Agency	0162HSP	OH

General Provider Information

NPI Number	:	1922238203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLEFIRST HOMECARE & HOSPICE OF OHIO, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4060
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-4060
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	704-664-1306

Provider Business Practice Location Address
First Line	:	112 HARCOURT RD STE 3
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-3944
Country	:	US
Telephone Number	:	740-263-2248
Fax Number	:	740-392-9366

Authorized Official
Title or Position	:	VP OF LICENSURE
Name	:	MS. JANET COMBS
Credential	:
Telephone Number	:	704-664-2876

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	07/03/2024

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