MEDICARE: MRS. RHONDA BEAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	3747A0650X	Attendant Care Provider
3	101YP1600X	Pastoral Counselor
4	376K00000X	Nurse's Aide
5	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1295225894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHONDA BEAL

Provider Business Mailing Address
First Line	:	840 SUIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1639
Country	:	US
Telephone Number	:	513-293-1548
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 SUIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1639
Country	:	US
Telephone Number	:	513-293-1548
Fax Number	:

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

Provider Enumeration Date	:	05/18/2018
Last Update Date	:	05/18/2018

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