Healthcare Provider Details
I. General information
NPI: 1558153791
Provider Name (Legal Business Name): FALL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3583 ALASKA AVE APT D9
CINCINNATI OH
45229-2546
US
IV. Provider business mailing address
3583 ALASKA AVE APT D9
CINCINNATI OH
45229-2546
US
V. Phone/Fax
- Phone: 513-401-5006
- Fax:
- Phone: 513-401-5006
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282J00000X |
| Taxonomy | Religious Nonmedical Health Care Institution |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
RUCKER
Title or Position: PRESIDENT
Credential:
Phone: 513-401-5006