Healthcare Provider Details

I. General information

NPI: 1992968440
Provider Name (Legal Business Name): AMEN MED-CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2008
Last Update Date: 07/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 NORTHLAND BLVD SUITE 304
CINCINNATI OH
45246-4911
US

IV. Provider business mailing address

270 NORTHLAND BLVD SUITE 304
CINCINNATI OH
45246-4911
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-3378
  • Fax: 513-771-3381
Mailing address:
  • Phone: 513-771-3378
  • Fax: 513-771-3381

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BEN-COLLINS UWAEZUOKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-771-3378