Healthcare Provider Details

I. General information

NPI: 1417886318
Provider Name (Legal Business Name): BETHEL HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 NORTHLAND BLVD # 302
CINCINNATI OH
45246-4917
US

IV. Provider business mailing address

260 NORTHLAND BLVD # 302
CINCINNATI OH
45246-4917
US

V. Phone/Fax

Practice location:
  • Phone: 859-777-8830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PIERRE MWAMBA
Title or Position: CEO/OWNER
Credential:
Phone: 859-777-8830