Healthcare Provider Details

I. General information

NPI: 1912764986
Provider Name (Legal Business Name): CHAPTER 41
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2068 BICKEL AVE
CINCINNATI OH
45214-1110
US

IV. Provider business mailing address

4439 READING RD STE 101
CINCINNATI OH
45229-1256
US

V. Phone/Fax

Practice location:
  • Phone: 513-488-2060
  • Fax:
Mailing address:
  • Phone: 513-266-5655
  • 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 Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY BARNES
Title or Position: CEO
Credential:
Phone: 513-488-2060