Healthcare Provider Details

I. General information

NPI: 1821512682
Provider Name (Legal Business Name): ONLY THE FAMILY HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 BOBMEYER RD C-HANGAR 7 SUITE 210
HAMILTON OH
45014-4501
US

IV. Provider business mailing address

2820 BOBMEYER RD C-HANGAR 7 SUITE 210
HAMILTON OH
45015-1308
US

V. Phone/Fax

Practice location:
  • Phone: 513-334-8852
  • Fax:
Mailing address:
  • Phone: 513-334-8852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: BIANCA N TIPTON
Title or Position: CO-OWNER
Credential:
Phone: 513-225-3374