Healthcare Provider Details

I. General information

NPI: 1679495782
Provider Name (Legal Business Name): NEARSIDE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 VINE ST APT 539
CINCINNATI OH
45202-3648
US

IV. Provider business mailing address

309 VINE ST APT 539
CINCINNATI OH
45202-3648
US

V. Phone/Fax

Practice location:
  • Phone: 513-319-9816
  • Fax:
Mailing address:
  • Phone: 513-319-9816
  • Fax:

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: GARDANNAS MEADOWS
Title or Position: MANAGING MEMBER
Credential:
Phone: 513-361-9981