MEDICARE: SECOND MILE HOME CARE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1326993858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECOND MILE HOME CARE

Provider Business Mailing Address
First Line	:	7281 JETHVE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7754 CAMARGO RD STE 21
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2661
Country	:	US
Telephone Number	:	513-675-4494
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANN KINWORTHY
Credential	:	APRN-CNP
Telephone Number	:	513-675-4494

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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