Healthcare Provider Details

I. General information

NPI: 1215273198
Provider Name (Legal Business Name): CINCICARES HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 BECKETT CENTER DR STE 325
WEST CHESTER OH
45069-5023
US

IV. Provider business mailing address

8050 BECKETT CENTER DR SUITE 325
WEST CHESTER OH
45069-5017
US

V. Phone/Fax

Practice location:
  • Phone: 513-899-7634
  • Fax: 513-389-7633
Mailing address:
  • Phone: 513-899-7634
  • Fax: 513-389-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberFTHH.022259450-03
License Number StateOH

VIII. Authorized Official

Name: JAMES MYRES
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 513-389-7634