MEDICARE: HIGHLEE FAVORED HEALTHCARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629767835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLEE FAVORED HEALTHCARE

Provider Business Mailing Address
First Line	:	840 SUIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1639
Country	:	US
Telephone Number	:	513-293-1548
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 SUIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1639
Country	:	US
Telephone Number	:	513-293-1548
Fax Number	:

Authorized Official
Title or Position	:	PUBLIC SCHOOL TEACHER
Name	:	RHONDA BEAL
Credential	:	MHHSA, B.SC., AAS
Telephone Number	:	513-293-1548

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/03/2023

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Directions to “HIGHLEE FAVORED HEALTHCARE ” Practice Location

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