Healthcare Provider Details

I. General information

NPI: 1548026974
Provider Name (Legal Business Name): MR. SCOTT E OHARA SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9276 YELLOWWOOD DR
CINCINNATI OH
45251-1975
US

IV. Provider business mailing address

9276 YELLOWWOOD DR
CINCINNATI OH
45251-1975
US

V. Phone/Fax

Practice location:
  • Phone: 513-331-0855
  • Fax:
Mailing address:
  • Phone: 513-331-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: