Healthcare Provider Details

I. General information

NPI: 1124528229
Provider Name (Legal Business Name): RESIDENTIAL MANAGEMENT SYSTEMS, INC.-HANFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 02/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 HANFIELD ST
CINCINNATI OH
45223-2260
US

IV. Provider business mailing address

250 E WILSON BRIDGE RD STE 205
WORTHINGTON OH
43085-2323
US

V. Phone/Fax

Practice location:
  • Phone: 513-521-1687
  • Fax:
Mailing address:
  • Phone: 614-848-6640
  • Fax: 614-847-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number0740069
License Number StateOH

VIII. Authorized Official

Name: MR. DIXON A. BUEHLER
Title or Position: CEO
Credential: CPA
Phone: 614-848-6640