Healthcare Provider Details

I. General information

NPI: 1245454198
Provider Name (Legal Business Name): GENESIS HOME HEALTH CARE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 CENTRAL PKWY SUITE 115
CINCINNATI OH
45202-6904
US

IV. Provider business mailing address

1634 CENTRAL PKWY SUITE 115
CINCINNATI OH
45202-6904
US

V. Phone/Fax

Practice location:
  • Phone: 513-362-2728
  • Fax: 513-784-0075
Mailing address:
  • Phone: 513-362-2728
  • Fax: 513-784-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberM3103135
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberM3103135
License Number StateOH

VIII. Authorized Official

Name: MR. RALPH POWERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-362-2728