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NPI Code Detail

MEDICARE: HEALING SPRINGS MED-CARE LLC

MEDICARE: HEALING SPRINGS MED-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
1332B00000XDurable Medical Equipment & Medical Supplies
2314000000XSkilled Nursing FacilityOH
3251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17416570001OTHEROHPTAN

General Provider Information

NPI Number : 1912283722
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING SPRINGS MED-CARE LLC
Provider Business Mailing Address
First Line : 1821 SUMMIT RD
Second Line : STE 200
City : CINCINNATI
State : OH
Zip : 45237-2822
Country : US
Telephone Number : 513-885-1060
Fax Number :
Provider Business Practice Location Address
First Line : 1821 SUMMIT RD
Second Line : STE 200
City : CINCINNATI
State : OH
Zip : 45237-2822
Country : US
Telephone Number : 513-885-1060
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KENNETH A UWAEZUOKE
Credential :
Telephone Number : 513-885-1060
Provider Enumeration Date : 10/25/2011
Last Update Date : 11/03/2016

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Directions to “HEALING SPRINGS MED-CARE LLC ” Practice Location

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