Organization
ANOVYCARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPEOLU 0 FAWOLE (SUPERVISOR)
(678) 855-1226
Entity
Organization
Contact information
Practice address
10999 REED HARTMAN HWY, SUITE 210, BLUE ASH, OH 45242-8331
(513) 550-4469
(513) 672-2137
Mailing address
10999 REED HARTMAN HWY, SUITE 210, BLUE ASH, OH 45242-8331
(678) 855-1226
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136754
ODJFS MEDICAID PROVIDER NUMBER
OH
05
—
0189047
—
OH
Enumeration date
03/28/2015
Last updated
07/06/2021
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