MEDICARE: QURAN R HISLE

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	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1346171535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QURAN R HISLE

Provider Business Mailing Address
First Line	:	9150 TRIPOLI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-3040
Country	:	US
Telephone Number	:	513-623-5471
Fax Number	:	513-559-0014

Provider Business Practice Location Address
First Line	:	9150 TRIPOLI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-3040
Country	:	US
Telephone Number	:	513-623-5471
Fax Number	:	513-559-0014

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ QURAN R HISLE ” Practice Location

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