MEDICARE: MRS. KATHERINE LYNN LATHAM CAREGIVER

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1205727518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE LYNN LATHAM CAREGIVER

Provider Business Mailing Address
First Line	:	4270 IVY POINTE BLVD STE 120
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-0003
Country	:	US
Telephone Number	:	513-528-7823
Fax Number	:	513-528-9675

Provider Business Practice Location Address
First Line	:	4270 IVY POINTE BLVD STE 120
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-0003
Country	:	US
Telephone Number	:	513-528-7823
Fax Number	:	513-528-9675

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

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

Similar Medicare Providers

1285433623 — LESLIE WILLIAMS
Practice Location Address:

4270 IVY POINTE BLVD STE 220
CINCINNATI, OH
45245-0003

Practice Phone: 513-918-0711
Practice Fax:

1386535615 — FRONTLINE NATIONAL LLC
Practice Location Address:

4270 IVY POINTE BLVD STE 120
CINCINNATI, OH
45245-0003

Practice Phone: 513-528-7823
Practice Fax: 513-528-9675

1558228593 — STEPHANIE RACE
Practice Location Address:

4270 IVY POINTE BLVD STE 105 , SUITE 105
CINCINNATI, OH
45245-0003

Practice Phone: 513-926-6412
Practice Fax:

1235085580 — TERENCE TAMANJI NYA WANDUM
Practice Location Address:

4251 LLIUM AVE , 3307
CINCINNATI, OH
45245

Practice Phone: 513-200-5415
Practice Fax:

1942156039 — KRISTEN FRANKS RN
Practice Location Address:

3992 GLEN ESTE WITHAMSVILLE RD
CINCINNATI, OH
45245-2106

Practice Phone: 317-586-1196
Practice Fax:

1104543586 — BON SECOURS MERCY HEALTH VIRTUAL CARE LLC
Practice Location Address:

601 IVY GTWY
CINCINNATI, OH
45245-1898

Practice Phone: 513-752-8000
Practice Fax:

Directions to “ MRS. KATHERINE LYNN LATHAM CAREGIVER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.