=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093598328
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AT YOUR SERVICE SENIOR HOME CARE AND TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2023
-----------------------------------------------------
Last Update Date | 08/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7855 HARRISON AVE APT 6
-----------------------------------------------------
City | MOUNT HEALTHY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45231-3153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-981-8007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7855 HARRISON AVE APT 6
-----------------------------------------------------
City | MOUNT HEALTHY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45231-3153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-981-8007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DENISE HAMBY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-981-8007
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------