Healthcare Provider Details

I. General information

NPI: 1073239976
Provider Name (Legal Business Name): M.E.R.G.E CINCINNATI LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 WARDALL AVE
CINCINNATI OH
45211-4903
US

IV. Provider business mailing address

2917 WARDALL AVE
CINCINNATI OH
45211-4903
US

V. Phone/Fax

Practice location:
  • Phone: 513-807-3920
  • Fax:
Mailing address:
  • Phone: 513-807-3920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: TRACY ALSOP
Title or Position: CEO
Credential:
Phone: 513-807-3920