Healthcare Provider Details

I. General information

NPI: 1043956758
Provider Name (Legal Business Name): MRS. DAWN TINA SINGLETON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11288 LINCOLNSHIRE DR
CINCINNATI OH
45240-2903
US

IV. Provider business mailing address

11711 PRINCETON PKE STE341
SPRINGDALE OH
45246
US

V. Phone/Fax

Practice location:
  • Phone: 513-276-1671
  • Fax: 513-510-5864
Mailing address:
  • Phone: 513-252-7996
  • Fax: 513-510-5864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number202211802138
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: