MEDICARE: UPLIFTING NEIGHBORHOOD KIDS 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780516922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLIFTING NEIGHBORHOOD KIDS LLC

Provider Business Mailing Address
First Line	:	2601 MELROSE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1601
Country	:	US
Telephone Number	:	513-266-5988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 MELROSE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1601
Country	:	US
Telephone Number	:	513-266-5988
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRANDON WILLIAMS
Credential	:
Telephone Number	:	513-266-5988

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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