MEDICARE: SPRINGS MEDICAL INC

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	:	1922612456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGS MEDICAL INC

Provider Business Mailing Address
First Line	:	1821 SUMMIT RD STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2819
Country	:	US
Telephone Number	:	513-692-6400
Fax Number	:	513-679-7759

Provider Business Practice Location Address
First Line	:	1821 SUMMIT RD STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2819
Country	:	US
Telephone Number	:	513-692-6400
Fax Number	:	513-679-7759

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	GRACE CHIBUIKEM
Credential	:	NURSE
Telephone Number	:	513-692-6400

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	09/02/2020

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