Healthcare Provider Details

I. General information

NPI: 1144519844
Provider Name (Legal Business Name): AFEMAI SUPPORTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 NORTHLAND BLVD STE 216
CINCINNATI OH
45246-3752
US

IV. Provider business mailing address

230 NORTHLAND BLVD STE 216
CINCINNATI OH
45246-3752
US

V. Phone/Fax

Practice location:
  • Phone: 513-972-1987
  • Fax: 866-262-8866
Mailing address:
  • Phone: 513-972-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: FAITH EKHAEYEMHE
Title or Position: CEO
Credential:
Phone: 513-889-8392