MEDICARE: DD THREE TIMES ADVANCED CARE SERVICES

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1235090663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DD THREE TIMES ADVANCED CARE SERVICES

Provider Business Mailing Address
First Line	:	5539 OLD BLUE ROCK RD APT 57
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-2729
Country	:	US
Telephone Number	:	513-344-5949
Fax Number	:

Provider Business Practice Location Address
First Line	:	5539 OLD BLUE ROCK RD APT 57
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-2729
Country	:	US
Telephone Number	:	513-344-5949
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEIDRA GRIER
Credential	:	BSHS, MBA
Telephone Number	:	513-344-5949

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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