Healthcare Provider Details

I. General information

NPI: 1851186910
Provider Name (Legal Business Name): MR. RODRIGUE TCHINDA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4828 SECTION AVE APT 2
CINCINNATI OH
45212-2119
US

IV. Provider business mailing address

4828 SECTION AVE APT 2
CINCINNATI OH
45212-2119
US

V. Phone/Fax

Practice location:
  • Phone: 513-237-9039
  • Fax:
Mailing address:
  • Phone: 513-237-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: