Healthcare Provider Details

I. General information

NPI: 1982268454
Provider Name (Legal Business Name): SIMPLY ENCHANTED HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9443 READING RD
READING OH
45215-3550
US

IV. Provider business mailing address

9443 READING RD
READING OH
45215-3550
US

V. Phone/Fax

Practice location:
  • Phone: 513-388-6157
  • Fax: 513-873-6552
Mailing address:
  • Phone: 513-388-6157
  • Fax: 513-873-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. KALEAH FUTRELL
Title or Position: CEO
Credential:
Phone: 513-388-6157