Healthcare Provider Details

I. General information

NPI: 1639127822
Provider Name (Legal Business Name): ST. ALOYSIUS ORPHANAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 READING RD
CINCINNATI OH
45237-6107
US

IV. Provider business mailing address

4721 READING RD
CINCINNATI OH
45237-6107
US

V. Phone/Fax

Practice location:
  • Phone: 513-242-7600
  • Fax: 513-242-2845
Mailing address:
  • Phone: 513-242-7600
  • Fax: 513-242-2845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number341
License Number StateOH

VIII. Authorized Official

Name: MRS. CARRIE K HAMPTON
Title or Position: QI DIRECTOR
Credential:
Phone: 513-242-7600