Healthcare Provider Details

I. General information

NPI: 1568532422
Provider Name (Legal Business Name): ALTERNATIVE HOME CARE AND STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 EAST GALBRAITH ROAD SECOND FLOOR
CINCINNATI OH
45236-2871
US

IV. Provider business mailing address

5150 EAST GALBRAITH ROAD SECOND FLOOR
CINCINNATI OH
45236-2871
US

V. Phone/Fax

Practice location:
  • Phone: 513-794-0555
  • Fax: 513-794-1539
Mailing address:
  • Phone: 513-794-0555
  • Fax: 513-794-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KELLY WICKLINE
Title or Position: CEO ADMINISTRATOR
Credential:
Phone: 513-794-0555