Provider Demographics
NPI:1114714011
Name:OPHELIAS HOME HEALTH & ASSISTANT LIVING GROUP
Entity type:Organization
Organization Name:OPHELIAS HOME HEALTH & ASSISTANT LIVING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-301-0080
Mailing Address - Street 1:3667 PARAMOUNT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-6060
Mailing Address - Country:US
Mailing Address - Phone:513-301-0080
Mailing Address - Fax:513-268-1097
Practice Address - Street 1:7505 READING RD STE 301B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3236
Practice Address - Country:US
Practice Address - Phone:513-301-0080
Practice Address - Fax:513-268-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty