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NPI Code Detail

MEDICARE: QUEEN CITY SKILLED CARE, LLC

MEDICARE: QUEEN CITY SKILLED CARE, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1629522206
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEEN CITY SKILLED CARE, LLC
Provider Business Mailing Address
First Line : 7265 KENWOOD RD STE 370
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-4411
Country : US
Telephone Number : 513-802-5010
Fax Number :
Provider Business Practice Location Address
First Line : 7265 KENWOOD RD STE 370
Second Line :
City : CINCINNATI
State : OH
Zip : 45236
Country : US
Telephone Number : 513-802-5010
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. RICHARD KELLER
Credential :
Telephone Number : 917-763-6945
Provider Enumeration Date : 08/11/2016
Last Update Date : 02/09/2026

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Directions to “QUEEN CITY SKILLED CARE, LLC ” Practice Location

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