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NPI Code Detail

MEDICARE: TALBERT HOUSE

MEDICARE: TALBERT HOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility
23245S0500XChildren's Substance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124051362
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALBERT HOUSE
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number : 513-751-0180
Provider Business Practice Location Address
First Line : 1515 CARLL ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2012
Country : US
Telephone Number : 513-244-3985
Fax Number : 513-244-3989
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. WILLIAM D HOSTLER
Credential :
Telephone Number : 513-751-7747
Provider Enumeration Date : 07/09/2006
Last Update Date : 08/05/2014

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1477876860 — CARRIE ELIZABETH KUNZELMAN LPCC-S, LICDC
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1558656959 — RYAN L BRAUN CDCA
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1457886814 — ALICIA KATELYNN COLLINS M.ED, LPC
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1144730516 — ALICE MICHELLE BLEDSOE CDCA
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Directions to “TALBERT HOUSE ” Practice Location

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