Healthcare Provider Details

I. General information

NPI: 1003435660
Provider Name (Legal Business Name): MAGNET CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 NILLES RD STE 1
FAIRFIELD OH
45014-2626
US

IV. Provider business mailing address

5928 HAWTHORNE RESERVES DR
LIBERTY TWP OH
45044-5775
US

V. Phone/Fax

Practice location:
  • Phone: 513-382-4927
  • Fax: 513-447-6534
Mailing address:
  • Phone: 513-382-4927
  • Fax: 513-447-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: STANLEY TIBONG
Title or Position: OWNER
Credential:
Phone: 513-382-4927