Healthcare Provider Details

I. General information

NPI: 1316136534
Provider Name (Legal Business Name): ST. ELIZABETH HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 TANNERS GATE LN STE 100
FLORENCE KY
41042-1863
US

IV. Provider business mailing address

6281 TRI RIDGE BLVD STE 300
LOVELAND OH
45140-8345
US

V. Phone/Fax

Practice location:
  • Phone: 859-283-1500
  • Fax:
Mailing address:
  • Phone: 513-576-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACK HAWKINS
Title or Position: VP, FINANCE & CFO
Credential:
Phone: 513-477-6305