Healthcare Provider Details

I. General information

NPI: 1821451261
Provider Name (Legal Business Name): EXTENDED ARMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 08/02/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 COLERAIN AVE SUITE 202
CINCINNATI OH
45239-5364
US

IV. Provider business mailing address

7225 COLERAIN AVE SUITE 202
CINCINNATI OH
45239-5364
US

V. Phone/Fax

Practice location:
  • Phone: 513-394-1564
  • Fax: 513-672-2069
Mailing address:
  • Phone: 513-394-1564
  • Fax: 513-672-2069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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 TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALLISON DEAN WATSON
Title or Position: CEO
Credential:
Phone: 513-394-1564