Healthcare Provider Details

I. General information

NPI: 1093308272
Provider Name (Legal Business Name): DLJ HOMECARE PLUS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11551 FOLKSTONE DR
CINCINNATI OH
45240-2623
US

IV. Provider business mailing address

11551 FOLKSTONE DR
CINCINNATI OH
45240-2623
US

V. Phone/Fax

Practice location:
  • Phone: 513-383-6610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: TAMARA AYERS
Title or Position: OWNER
Credential: RN
Phone: 513-383-6610