MEDICARE: NAKKIYA GROOMES

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	172A00000X	Driver
2	251B00000X	Case Management Agency		OH

General Provider Information

NPI Number	:	1396175261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAKKIYA GROOMES

Provider Business Mailing Address
First Line	:	846 ACADEMY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1623
Country	:	US
Telephone Number	:	513-485-5361
Fax Number	:

Provider Business Practice Location Address
First Line	:	846 ACADEMY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1623
Country	:	US
Telephone Number	:	513-485-5361
Fax Number	:

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

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	11/17/2025

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Directions to “ NAKKIYA GROOMES ” Practice Location

Language	Start Address	Practice Location

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