Healthcare Provider Details
I. General information
NPI: 1295227874
Provider Name (Legal Business Name): HEALTHY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2018
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7198 PIPPIN RD
CINCINNATI OH
45239-4605
US
IV. Provider business mailing address
3418 FEBRUARY DR
CINCINNATI OH
45239-5439
US
V. Phone/Fax
- Phone: 513-765-0768
- Fax: 513-429-3305
- Phone: 513-765-0768
- Fax: 513-429-3305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | 2415713 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEELA
KUIKEL
Title or Position: CEO
Credential:
Phone: 513-765-0768