Healthcare Provider Details

I. General information

NPI: 1801481437
Provider Name (Legal Business Name): MASLOW HOMEHEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11497 SPRINGFIELD PIKE STE 3-4
CINCINNATI OH
45246-3551
US

IV. Provider business mailing address

11497 SPRINGFIELD PIKE STE 3-4
CINCINNATI OH
45246-3551
US

V. Phone/Fax

Practice location:
  • Phone: 513-390-4274
  • Fax:
Mailing address:
  • Phone: 513-390-4274
  • 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: BEN-COLLINS O UWAEZUOKE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 513-257-8485