=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902422983
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANDS ON SENIOR CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2020
-----------------------------------------------------
Last Update Date | 06/24/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4111 SAINT JAMES AVE # 1
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45236-4047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-972-7461
-----------------------------------------------------
Fax | 513-386-9229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4111 SAINT JAMES AVE # 1
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45236-4047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-972-7461
-----------------------------------------------------
Fax | 513-386-9229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. KERIA MCDONALD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-972-7461
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376K00000X
-----------------------------------------------------
Taxonomy Name | Nurse's Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------