Healthcare Provider Details

I. General information

NPI: 1649897927
Provider Name (Legal Business Name): XCEPTIONAL HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 08/29/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S COOPER AVE
CINCINNATI OH
45215-4596
US

IV. Provider business mailing address

201 E 5TH ST
CINCINNATI OH
45202-4152
US

V. Phone/Fax

Practice location:
  • Phone: 513-679-7753
  • Fax: 513-679-7908
Mailing address:
  • Phone: 513-642-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ERICA ELLIOTT
Title or Position: CO-OWNER
Credential:
Phone: 513-679-7753