Healthcare Provider Details

I. General information

NPI: 1114804176
Provider Name (Legal Business Name): TASHA MILLS QBHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 E KEMPER RD STE 3100C
CINCINNATI OH
45246-3945
US

IV. Provider business mailing address

1327 E KEMPER RD STE 3100C
CINCINNATI OH
45246-3945
US

V. Phone/Fax

Practice location:
  • Phone: 800-376-4280
  • Fax:
Mailing address:
  • Phone: 800-376-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.168627
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: