Healthcare Provider Details

I. General information

NPI: 1316990351
Provider Name (Legal Business Name): CINCINNATI HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

742 WAYCROSS RD
CINCINNATI OH
45240-3141
US

IV. Provider business mailing address

742 WAYCROSS RD
CINCINNATI OH
45240-3141
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-2760
  • Fax: 513-771-2764
Mailing address:
  • Phone: 513-771-2760
  • Fax: 513-771-2764

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

VIII. Authorized Official

Name: VINNA OBY UGWU
Title or Position: RN DIRECTOR OF NURSING
Credential: RN
Phone: 513-771-2760