Healthcare Provider Details

I. General information

NPI: 1376142877
Provider Name (Legal Business Name): VIGMA ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MONTANA AVE STE 201
CINCINNATI OH
45211-3891
US

IV. Provider business mailing address

2300 MONTANA AVE STE 201
CINCINNATI OH
45211-3891
US

V. Phone/Fax

Practice location:
  • Phone: 513-386-9744
  • Fax: 513-392-8058
Mailing address:
  • Phone: 513-386-9744
  • Fax: 513-392-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAMUS ONOHWAKPO
Title or Position: OWNER
Credential:
Phone: 513-386-9744