Provider Demographics
NPI:1063952364
Name:QUALITY CARE FOR YOUR FAMILY
Entity type:Organization
Organization Name:QUALITY CARE FOR YOUR FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANEIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-293-9696
Mailing Address - Street 1:749 CIRCLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45232-1834
Mailing Address - Country:US
Mailing Address - Phone:513-293-9696
Mailing Address - Fax:
Practice Address - Street 1:749 CIRCLE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1834
Practice Address - Country:US
Practice Address - Phone:513-293-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child