MEDICARE: CASE CONSULTANTS OF OHIO

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1073245759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASE CONSULTANTS OF OHIO

Provider Business Mailing Address
First Line	:	3233 WESTBOURNE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-5111
Country	:	US
Telephone Number	:	513-221-7831
Fax Number	:	513-221-6567

Provider Business Practice Location Address
First Line	:	3233 WESTBOURNE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-5111
Country	:	US
Telephone Number	:	513-221-7831
Fax Number	:	513-221-6567

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHERIDAN CARLE
Credential	:
Telephone Number	:	513-221-7831

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	06/30/2022

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