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General NPI Number Information
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NPI Number | 1093886442
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HOMECARE OF CINCINNATI LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1634 CENTRAL PKWY SUITE 116
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City | CINCINNATI
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State | OH
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Zip | 45202-6904
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Country | US
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Telephone | 513-362-2759
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Fax | 513-784-0812
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Provider Business Mailing Address
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Address Line | PO BOX 1882
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City | AKRON
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State | OH
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Zip | 44309-1882
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Country | US
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Telephone | 513-362-2759
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Fax | 513-362-2759
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DERRICK ROOKARD
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Credential |
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Telephone | 330-352-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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