DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DECOACH TEAM LLC

MEDICARE: DECOACH TEAM LLC
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
1207RA0401XAddiction Medicine (Internal Medicine) PhysicianOH
2324500000XSubstance Abuse Rehabilitation Facility
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1366992224
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECOACH TEAM LLC
Provider Business Mailing Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number : 513-737-1107
Provider Business Practice Location Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number : 513-737-1107
Authorized Official
Title or Position : PRESIDENT
Name : KIMBERLY BARROWS
Credential :
Telephone Number : 513-818-5146
Provider Enumeration Date : 10/04/2016
Last Update Date : 12/16/2024

Similar Medicare Providers

1801289251 — MELISSA D BECKETT
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 855-577-7284
Practice Fax:
1124539903 — WILLIAM SOTO
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1578037552 — DECOACH TEAM LLC
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1215539317 — VICTORIA ANN HORNEY BA, LSW, CDCA
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1003642471 — EDEN A POCAI
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1700613320 — BRANDY GAYHEART
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:

Directions to “DECOACH TEAM LLC ” 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.