MEDICARE: AT HOME HOME 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

General Provider Information

NPI Number	:	1952162646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME HOME CARE LLC

Provider Business Mailing Address
First Line	:	5670 WINNESTE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45232-1270
Country	:	US
Telephone Number	:	151-329-7599
Fax Number	:

Provider Business Practice Location Address
First Line	:	5670 WINNESTE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45232-1270
Country	:	US
Telephone Number	:	513-297-5994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEONDRA J MILLS
Credential	:
Telephone Number	:	513-884-0917

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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Directions to “AT HOME HOME CARE LLC ” Practice Location

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