Healthcare Provider Details

I. General information

NPI: 1174396709
Provider Name (Legal Business Name): KARE KOMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 GRANDIN AVE APT A
CINCINNATI OH
45246-2945
US

IV. Provider business mailing address

413 GRANDIN AVE APT A
CINCINNATI OH
45246-2945
US

V. Phone/Fax

Practice location:
  • Phone: 859-739-6208
  • Fax:
Mailing address:
  • Phone: 859-739-6208
  • 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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: STEFFANY M CALLEN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 859-739-6208