Healthcare Provider Details

I. General information

NPI: 1295964005
Provider Name (Legal Business Name): BRAYS GENENSIS ELDER CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 HIGHLAND AVE. SUITE 100
CINCINNATI OH
45213
US

IV. Provider business mailing address

3251 HIGHLAND AVE. SUITE 100
CINCINNATI OH
45213
US

V. Phone/Fax

Practice location:
  • Phone: 513-522-1659
  • Fax: 513-531-1400
Mailing address:
  • Phone: 513-522-1659
  • Fax: 513-531-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberTAXI.D.#
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberTAXI.D.#
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberTAXI.D.#
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberTAXI.D.#
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberTAXI.D.#
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberTAXI.D.#
License Number StateOH

VIII. Authorized Official

Name: MRS. DOROTHY AMELIA BRAY
Title or Position: OWNER
Credential:
Phone: 513-522-1659