MEDICARE: MISS ANGELA JOHNSON

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1992542294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANGELA JOHNSON

Provider Business Mailing Address
First Line	:	1930 POWERS ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-2368
Country	:	US
Telephone Number	:	513-923-7313
Fax Number	:

Provider Business Practice Location Address
First Line	:	5289 PONDEROSA DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-7723
Country	:	US
Telephone Number	:	513-675-9848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	04/16/2026

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Directions to “ MISS ANGELA JOHNSON ” Practice Location

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