Healthcare Provider Details

I. General information

NPI: 1629700398
Provider Name (Legal Business Name): MY ANGELS LOVE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 NORTHLAND BLVD STE 315
CINCINNATI OH
45246-3600
US

IV. Provider business mailing address

230 NORTHLAND BLVD STE 315
CINCINNATI OH
45246-3600
US

V. Phone/Fax

Practice location:
  • Phone: 513-991-0353
  • Fax: 513-386-0368
Mailing address:
  • Phone: 513-991-0353
  • Fax: 513-386-0368

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CRYSTAL T SIMMONS
Title or Position: OWNER/ADMIN
Credential:
Phone: 283-333-6298