Healthcare Provider Details

I. General information

NPI: 1114621489
Provider Name (Legal Business Name): NINA CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 E TOWER DR APT 321
CINCINNATI OH
45238-6407
US

IV. Provider business mailing address

2732 E TOWER DR APT 321
CINCINNATI OH
45238-6407
US

V. Phone/Fax

Practice location:
  • Phone: 513-967-1046
  • Fax:
Mailing address:
  • Phone: 513-967-1046
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MISS TANYIKA PRATHER
Title or Position: OWNER
Credential:
Phone: 513-967-1046