Healthcare Provider Details

I. General information

NPI: 1295205276
Provider Name (Legal Business Name): MR. EMMANUEL BIO ANTWI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 NORTHLAND BLVD SUITE 112
CINCINNATI OH
45246
US

IV. Provider business mailing address

230 NORTHLAND BLVD SUITE 112
CINCINNATI OH
45246
US

V. Phone/Fax

Practice location:
  • Phone: 513-954-5879
  • Fax: 513-259-2452
Mailing address:
  • Phone: 513-954-5879
  • Fax: 513-259-2452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: