MEDICARE: WALK OF JOY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1831819192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALK OF JOY LLC

Provider Business Mailing Address
First Line	:	2692 MADISON RD # N1-102
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1321
Country	:	US
Telephone Number	:	513-376-7777
Fax Number	:	513-376-7777

Provider Business Practice Location Address
First Line	:	5610 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7006
Country	:	US
Telephone Number	:	513-376-7777
Fax Number	:	513-376-7777

Authorized Official
Title or Position	:	CEO
Name	:	MR. WENDELL EUGENE ANDERSON JR.
Credential	:
Telephone Number	:	513-417-7762

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	08/29/2022

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Directions to “WALK OF JOY LLC ” Practice Location

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