Healthcare Provider Details

I. General information

NPI: 1801752753
Provider Name (Legal Business Name): LISA BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 SAMVER RD
CINCINNATI OH
45239-7149
US

IV. Provider business mailing address

5530 SAMVER RD
CINCINNATI OH
45239-7149
US

V. Phone/Fax

Practice location:
  • Phone: 513-291-0059
  • Fax:
Mailing address:
  • Phone: 513-291-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: