MEDICARE: SHINE HOME HEALTHCARE 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	:	1952775421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINE HOME HEALTHCARE LLC.

Provider Business Mailing Address
First Line	:	800 CROSS POINTE RD # 800E
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6687
Country	:	US
Telephone Number	:	614-547-7944
Fax Number	:	614-547-7961

Provider Business Practice Location Address
First Line	:	800 CROSS POINTE RD # 800E
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6687
Country	:	US
Telephone Number	:	614-547-7944
Fax Number	:	614-547-7961

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MR. HARI OM ADHIKARI
Credential	:
Telephone Number	:	614-547-7944

Provider Enumeration Date	:	11/21/2015
Last Update Date	:	07/29/2025

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