Healthcare Provider Details

I. General information

NPI: 1467197897
Provider Name (Legal Business Name): DELANNA MARIE HORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 BLAIR AVE APT 1
CINCINNATI OH
45207-1468
US

IV. Provider business mailing address

2623 MELROSE AVE # AOT3
CINCINNATI OH
45206-1629
US

V. Phone/Fax

Practice location:
  • Phone: 513-376-3902
  • Fax:
Mailing address:
  • Phone: 513-376-3902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: