Healthcare Provider Details

I. General information

NPI: 1477202059
Provider Name (Legal Business Name): TEND 2 OTHERS ENDEPENDENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 BORDEN ST
CINCINNATI OH
45223-2310
US

IV. Provider business mailing address

3731 BORDEN ST
CINCINNATI OH
45223-2310
US

V. Phone/Fax

Practice location:
  • Phone: 513-496-7115
  • Fax:
Mailing address:
  • Phone: 513-496-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: KOURTNESHA ANDERSON
Title or Position: OWNER/ CEO
Credential: DODD
Phone: 513-496-7115