Healthcare Provider Details

I. General information

NPI: 1770364374
Provider Name (Legal Business Name): NIGHTINGALS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3647 W 8TH ST UNIT 1
CINCINNATI OH
45205-2271
US

IV. Provider business mailing address

3647 W 8TH ST
CINCINNATI OH
45205-2271
US

V. Phone/Fax

Practice location:
  • Phone: 513-349-1154
  • Fax:
Mailing address:
  • Phone: 513-349-1154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MALLIE EDWARDS
Title or Position: ADMINISTATOR
Credential: ADM
Phone: 513-349-1154