Healthcare Provider Details

I. General information

NPI: 1023954369
Provider Name (Legal Business Name): TARGET HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11497 SPRINGFIELD PIKE STE 7
CINCINNATI OH
45246-3551
US

IV. Provider business mailing address

11497 SPRINGFIELD PIKE STE 7
CINCINNATI OH
45246-3551
US

V. Phone/Fax

Practice location:
  • Phone: 513-426-8492
  • Fax: 513-426-8641
Mailing address:
  • Phone: 513-426-8492
  • Fax: 513-426-8641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAMBWENE WAMBA
Title or Position: CEO
Credential:
Phone: 513-426-8492