Healthcare Provider Details
I. General information
NPI: 1710556469
Provider Name (Legal Business Name): WECARECONCIERGESERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2021
Last Update Date: 06/17/2021
Certification Date: 06/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3646 GLENMORE AVE
CINCINNATI OH
45211-4730
US
IV. Provider business mailing address
3646 GLENMORE AVE
CINCINNATI OH
45211-4730
US
V. Phone/Fax
- Phone: 513-972-7577
- Fax:
- Phone: 513-972-7577
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LASHAWNTA
ROSE
MATHEWS
Title or Position: OWNER
Credential:
Phone: 513-972-7577