Healthcare Provider Details

I. General information

NPI: 1528922192
Provider Name (Legal Business Name): RUSSELL-SMITH HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2049 JOHN GRAY RD
CINCINNATI OH
45240-1059
US

IV. Provider business mailing address

2049 JOHN GRAY RD
CINCINNATI OH
45240-1059
US

V. Phone/Fax

Practice location:
  • Phone: 513-674-0384
  • Fax:
Mailing address:
  • Phone: 513-674-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANDY MUIR
Title or Position: VP OF GOVERNMENT AFFAIRS
Credential:
Phone: 440-793-2245