Healthcare Provider Details

I. General information

NPI: 1003312786
Provider Name (Legal Business Name): PERSONAL COMPANIONS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 TOWNE SQUARE AVE STE 18
BLUE ASH OH
45242
US

IV. Provider business mailing address

9420 TOWNE SQUARE AVE STE 18
BLUE ASH OH
45242-6910
US

V. Phone/Fax

Practice location:
  • Phone: 513-442-0082
  • Fax: 513-442-4188
Mailing address:
  • Phone: 513-442-0082
  • Fax: 513-442-4188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KAYLA BANKHEAD
Title or Position: OWNER
Credential:
Phone: 513-332-1993