=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659722866
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALWAYS THERE HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2016
-----------------------------------------------------
Last Update Date | 06/29/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1095 NIMITZVIEW DR SUITE 301
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45230-4392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-326-5439
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1095 NIMITZVIEW DR SUITE 301
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45230-4392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-326-5439
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | SARA PEARCE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-326-5439
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 201031300902
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------