Healthcare Provider Details

I. General information

NPI: 1477269843
Provider Name (Legal Business Name): CORE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8746 NEPTUNE DR
CINCINNATI OH
45231-4124
US

IV. Provider business mailing address

8746 NEPTUNE DR
CINCINNATI OH
45231-4124
US

V. Phone/Fax

Practice location:
  • Phone: 513-382-9111
  • Fax:
Mailing address:
  • Phone: 513-382-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAYNA RUFFIN
Title or Position: OWNER
Credential:
Phone: 513-382-9111