Healthcare Provider Details

I. General information

NPI: 1932064961
Provider Name (Legal Business Name): CINCINNATI SNF HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3627 HARVEY AVE
CINCINNATI OH
45229-2005
US

IV. Provider business mailing address

3627 HARVEY AVE
CINCINNATI OH
45229-2005
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-8881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JACOB STERN
Title or Position: MANAGER
Credential:
Phone: 732-659-1353