=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568341725
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANIEMICARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2025
-----------------------------------------------------
Last Update Date | 08/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2681 APEX CT
-----------------------------------------------------
City | FAIRFIELD TOWNSHIP
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45011-5030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-765-0041
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2681 APEX CT
-----------------------------------------------------
City | FAIRFIELD TOWNSHIP
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45011-5030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-765-0041
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NP
-----------------------------------------------------
Name | MRS. ANIE DJIADEU
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 513-765-0041
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------