Healthcare Provider Details

I. General information

NPI: 1316726318
Provider Name (Legal Business Name): CINPHILLY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8964 EBRO CT
CINCINNATI OH
45231-4553
US

IV. Provider business mailing address

9674 COLERAIN AVE # 324
CINCINNATI OH
45251-2006
US

V. Phone/Fax

Practice location:
  • Phone: 513-496-4229
  • Fax:
Mailing address:
  • Phone: 513-496-4229
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KRISTA CAUSEY
Title or Position: OWNER
Credential:
Phone: 513-496-4229