MEDICARE: NIKKIA HITCHCOCK

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	:	1083387153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKIA HITCHCOCK

Provider Business Mailing Address
First Line	:	201 E 5TH ST STE 1919
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4152
Country	:	US
Telephone Number	:	513-766-9510
Fax Number	:

Provider Business Practice Location Address
First Line	:	5103 HAWAIIAN TER APT 6
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1131
Country	:	US
Telephone Number	:	513-604-7692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	07/26/2021

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Directions to “ NIKKIA HITCHCOCK ” Practice Location

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