Healthcare Provider Details

I. General information

NPI: 1811487184
Provider Name (Legal Business Name): PATRICE PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2018
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 LAIDLAW AVE
CINCINNATI OH
45237
US

IV. Provider business mailing address

1302 LAIDLAW AVE
CINCINNATI OH
45237-5204
US

V. Phone/Fax

Practice location:
  • Phone: 513-306-6033
  • Fax:
Mailing address:
  • Phone: 513-306-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0476704
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number0476704
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number0476704
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number0476704
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRQ626852
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number0476704
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number0476704
License Number StateOH
# 10
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number0476704
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: