Healthcare Provider Details

I. General information

NPI: 1568187953
Provider Name (Legal Business Name): ALEXA WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ANTHONY LN
MASON OH
45040-1139
US

IV. Provider business mailing address

7183 SCARLET OAK CT
MASON OH
45040-7304
US

V. Phone/Fax

Practice location:
  • Phone: 513-502-0425
  • Fax: 513-729-6552
Mailing address:
  • Phone: 513-502-0425
  • Fax: 513-729-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER CHARLES BARNETT
Title or Position: DOO - DIRECTOR OF OPERATIONS
Credential:
Phone: 513-502-0425