Healthcare Provider Details

I. General information

NPI: 1912283722
Provider Name (Legal Business Name): HEALING SPRINGS MED-CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 11/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 SUMMIT RD STE 200
CINCINNATI OH
45237-2822
US

IV. Provider business mailing address

1821 SUMMIT RD STE 200
CINCINNATI OH
45237-2822
US

V. Phone/Fax

Practice location:
  • Phone: 513-885-1060
  • Fax:
Mailing address:
  • Phone: 513-885-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KENNETH A UWAEZUOKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-885-1060