MEDICARE: AMANDA DAWN WINKLE

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154195295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA DAWN WINKLE

Provider Business Mailing Address
First Line	:	451 VISCOUNT DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5141
Country	:	US
Telephone Number	:	513-259-8326
Fax Number	:

Provider Business Practice Location Address
First Line	:	8995 HOPEWELL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4513
Country	:	US
Telephone Number	:	513-259-8326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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