Healthcare Provider Details

I. General information

NPI: 1346171535
Provider Name (Legal Business Name): QURAN R HISLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 TRIPOLI DR
CINCINNATI OH
45251-3040
US

IV. Provider business mailing address

9150 TRIPOLI DR
CINCINNATI OH
45251-3040
US

V. Phone/Fax

Practice location:
  • Phone: 513-623-5471
  • Fax: 513-559-0014
Mailing address:
  • Phone: 513-623-5471
  • Fax: 513-559-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: