Provider Demographics
NPI:1215522891
Name:GLINECOS RESIDENTIAL HOME CARE
Entity type:Organization
Organization Name:GLINECOS RESIDENTIAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-379-4434
Mailing Address - Street 1:4873 KLEEMAN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1991
Mailing Address - Country:US
Mailing Address - Phone:513-379-4434
Mailing Address - Fax:
Practice Address - Street 1:4873 KLEEMAN GREEN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1991
Practice Address - Country:US
Practice Address - Phone:513-379-4434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care