Healthcare Provider Details

I. General information

NPI: 1235423351
Provider Name (Legal Business Name): LOVING CARE TRANSITIONAL HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8354 PRINCETON GLENDALE RD STE 209
WEST CHESTER OH
45069-2130
US

IV. Provider business mailing address

8354 PRINCETON GLENDALE RD STE 209
WEST CHESTER OH
45069-2130
US

V. Phone/Fax

Practice location:
  • Phone: 513-860-1026
  • Fax: 513-860-1032
Mailing address:
  • Phone: 513-860-1026
  • Fax: 513-860-1032

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. REGINA YAA BOBIE
Title or Position: DIRECTOR/ ADMINISTRATOR
Credential: MBA, CPCU
Phone: 513-476-7879