MEDICARE: ALTRUCARE 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	:	1942604806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTRUCARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	601 W MCMICKEN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 W MCMICKEN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1930
Country	:	US
Telephone Number	:	513-621-2273
Fax Number	:

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	ABDI CHEIK
Credential	:
Telephone Number	:	513-621-2273

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	10/21/2014

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Directions to “ALTRUCARE HOME HEALTH LLC ” Practice Location

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