Healthcare Provider Details

I. General information

NPI: 1326993858
Provider Name (Legal Business Name): SECOND MILE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7754 CAMARGO RD STE 21
CINCINNATI OH
45243-2661
US

IV. Provider business mailing address

7281 JETHVE LN
CINCINNATI OH
45243-2112
US

V. Phone/Fax

Practice location:
  • Phone: 513-675-4494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ANN KINWORTHY
Title or Position: OWNER
Credential: APRN-CNP
Phone: 513-675-4494