MEDICARE: ALMS SOCIAL SERVICES

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	251S00000X	Community/Behavioral Health Agency
2	3104A0625X	Assisted Living Facility (Mental Illness)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	=========	OTHER	OH	MENTAL HEALTH

General Provider Information

NPI Number	:	1841836830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMS SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	853-855 GLENWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229
Country	:	US
Telephone Number	:	513-544-8813
Fax Number	:

Provider Business Practice Location Address
First Line	:	11071 OAK AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242
Country	:	US
Telephone Number	:	513-544-8813
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ANDREA YOUNG
Credential	:	PMHNP
Telephone Number	:	513-544-8813

Provider Enumeration Date	:	11/25/2019
Last Update Date	:	08/18/2020

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