Healthcare Provider Details

I. General information

NPI: 1114312253
Provider Name (Legal Business Name): ANTOINETTE NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 08/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MONTANA AVE SUITE 200-B
CINCINNATI OH
95211
US

IV. Provider business mailing address

3037 DARBI DEW LANE
CINCINNATI OH
45251-1314
US

V. Phone/Fax

Practice location:
  • Phone: 513-326-5429
  • Fax: 513-772-0340
Mailing address:
  • Phone: 513-315-4570
  • Fax: 513-772-0340

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 Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. ANTOINETTE JONES
Title or Position: OWNER/CEO
Credential:
Phone: 513-315-4570