MEDICARE: AZIZA NURSING SERVICES, LLC

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		OH

General Provider Information

NPI Number	:	1528358157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZIZA NURSING SERVICES, LLC

Provider Business Mailing Address
First Line	:	10901 REED HARTMAN HWY
Second Line	:	SUITE 210
City	:	CINCINNATI
State	:	OH
Zip	:	45242-2831
Country	:	US
Telephone Number	:	513-402-2092
Fax Number	:

Provider Business Practice Location Address
First Line	:	10901 REED HARTMAN HWY
Second Line	:	SUITE 210
City	:	CINCINNATI
State	:	OH
Zip	:	45242-2831
Country	:	US
Telephone Number	:	513-402-2092
Fax Number	:

Authorized Official
Title or Position	:	LPN/ DIRECT OWNER
Name	:	NEEYA AZIZA BAYAN
Credential	:
Telephone Number	:	513-720-2282

Provider Enumeration Date	:	04/16/2011
Last Update Date	:	08/08/2011

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