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NPI Code Detail

MEDICARE: RESIDENT HOME CORPORATION

MEDICARE: RESIDENT HOME CORPORATION
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1518258318
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESIDENT HOME CORPORATION
Provider Business Mailing Address
First Line : 3030 W FORK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1944
Country : US
Telephone Number : 513-389-7500
Fax Number :
Provider Business Practice Location Address
First Line : 3030 W FORK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1944
Country : US
Telephone Number : 513-389-7500
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. PATRICK MAYNARD
Credential : PHD
Telephone Number : 513-619-2928
Provider Enumeration Date : 04/27/2011
Last Update Date : 04/27/2011

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3030 W FORK RD
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45211-1944
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1841650520 — MRS. GINA PARRAN LPCC
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1033579669 — SARAH RISSLER
Practice Location Address:
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Practice Fax:
1932657012 — AMELIA AUBERGER
Practice Location Address:
3030 W FORK RD
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Practice Fax:

Directions to “RESIDENT HOME CORPORATION ” Practice Location

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