Healthcare Provider Details

I. General information

NPI: 1295280618
Provider Name (Legal Business Name): TIMOTHY SINGLETON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 E TERALTA CIR
CINCINNATI OH
45211-8125
US

IV. Provider business mailing address

2060 E TERALTA CIR
CINCINNATI OH
45211-8125
US

V. Phone/Fax

Practice location:
  • Phone: 513-266-8354
  • Fax:
Mailing address:
  • Phone: 513-266-8354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberRT188673
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRT188673
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: