Healthcare Provider Details

I. General information

NPI: 1871433409
Provider Name (Legal Business Name): JIREH PROVIDER PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3734 MONFORT HEIGHTS DR
CINCINNATI OH
45247-8024
US

IV. Provider business mailing address

3734 MONFORT HEIGHTS DR
CINCINNATI OH
45247-8024
US

V. Phone/Fax

Practice location:
  • Phone: 513-888-6464
  • Fax:
Mailing address:
  • Phone: 513-888-6464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: GLORIA JONES
Title or Position: CEO
Credential:
Phone: 513-581-6854