Healthcare Provider Details

I. General information

NPI: 1063952364
Provider Name (Legal Business Name): QUALITY CARE FOR YOUR FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 CIRCLE AVE
CINCINNATI OH
45232-1834
US

IV. Provider business mailing address

749 CIRCLE AVE
CINCINNATI OH
45232-1834
US

V. Phone/Fax

Practice location:
  • Phone: 513-293-9696
  • Fax:
Mailing address:
  • Phone: 513-293-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANEIKA GOODWIN
Title or Position: STNA
Credential:
Phone: 513-293-9696