MEDICARE: MOBILE HEALTHCARE 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1760268213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4818 GEMSTONE CT
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-3307
Country	:	US
Telephone Number	:	513-675-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	9232 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3416
Country	:	US
Telephone Number	:	513-675-5191
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. GEORGE K KNIGHT III
Credential	:	APRN
Telephone Number	:	513-675-5191

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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Directions to “MOBILE HEALTHCARE LLC ” Practice Location

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