Healthcare Provider Details

I. General information

NPI: 1588592265
Provider Name (Legal Business Name): CROWN JEWELS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11497 SPRINGFIELD PIKE STE 6
CINCINNATI OH
45246-3551
US

IV. Provider business mailing address

11497 SPRINGFIELD PIKE STE 6
CINCINNATI OH
45246-3551
US

V. Phone/Fax

Practice location:
  • Phone: 513-515-3318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAMRESE SAMIA JENKINS
Title or Position: OWNER
Credential:
Phone: 513-515-3318