MEDICARE: CARING LUCYS PATHWAY 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1508582990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING LUCYS PATHWAY LLC

Provider Business Mailing Address
First Line	:	3537 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-1827
Country	:	US
Telephone Number	:	513-873-6308
Fax Number	:

Provider Business Practice Location Address
First Line	:	3537 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-1827
Country	:	US
Telephone Number	:	513-873-6308
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. NICOLE LEWIS
Credential	:
Telephone Number	:	513-873-6308

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	11/08/2022

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Directions to “CARING LUCYS PATHWAY LLC ” Practice Location

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