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NPI Code Detail

MEDICARE: INTENTIONAL HOME HEALTHCARE LLC

MEDICARE: INTENTIONAL HOME HEALTHCARE 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 : 1720919806
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTENTIONAL HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 540 RINGGOLD ST APT 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7977
Country : US
Telephone Number : 513-400-1202
Fax Number :
Provider Business Practice Location Address
First Line : 540 RINGGOLD ST APT 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7977
Country : US
Telephone Number : 513-400-1202
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. TAYLER MOSLEY-KELLY
Credential :
Telephone Number : 513-400-1202
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “INTENTIONAL HOME HEALTHCARE LLC ” Practice Location

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