Healthcare Provider Details

I. General information

NPI: 1235060146
Provider Name (Legal Business Name): JASHEKA MACK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 LOSANTIVILLE AVE
CINCINNATI OH
45237-4547
US

IV. Provider business mailing address

2541 LOSANTIVILLE AVE
CINCINNATI OH
45237-4547
US

V. Phone/Fax

Practice location:
  • Phone: 513-570-9721
  • Fax: 877-488-7011
Mailing address:
  • Phone: 513-570-9721
  • Fax: 877-488-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: