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NPI 1033404736

NPI 1033404736 : INTERIM HEALTHCARE OF CINCINNATI, INC : EDGEWOOD, KY

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General NPI Number Information
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    NPI Number           |    1033404736
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTERIM HEALTHCARE OF CINCINNATI, INC 
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Dates
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    Enumeration Date     |    06/10/2011
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    Last Update Date     |    05/01/2024
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Provider Practice Location Address
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    Address Line         |    3005 DIXIE HWY SUITE 130
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    City                 |    EDGEWOOD
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    State                |    KY
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    Zip                  |    41017-2352
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    Country              |    US
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    Telephone            |    859-578-9191
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    Fax                  |    859-578-9276
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Provider Business Mailing Address
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    Address Line         |    3005 DIXIE HWY STE 100 
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    City                 |    EDGEWOOD
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    State                |    KY
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    Zip                  |    41017-2352
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    Country              |    US
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    Telephone            |    859-578-9191
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    Fax                  |    859-578-9276
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. THOMAS J DIMARCO 
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    Credential           |    
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    Telephone            |    614-436-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    150136
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    720221
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    150136
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    150136
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    License Number State |    KY
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Taxonomy #5
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    150136
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    License Number State |    KY
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Taxonomy #6
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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