Healthcare Provider Details

I. General information

NPI: 1316869555
Provider Name (Legal Business Name): EUGENE BIVENS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3332 ALAMO AVE APT 12
CINCINNATI OH
45209-1079
US

IV. Provider business mailing address

3332 ALAMO AVE APT 12
CINCINNATI OH
45209-1079
US

V. Phone/Fax

Practice location:
  • Phone: 513-356-3082
  • Fax:
Mailing address:
  • Phone: 513-356-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberRQ661672
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: