Provider Demographics
NPI:1285404467
Name:LEGREE, RAUSHANAH
Entity type:Individual
Prefix:
First Name:RAUSHANAH
Middle Name:
Last Name:LEGREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RAUSHANAH
Other - Middle Name:
Other - Last Name:LEGREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SHANAH GIBSON
Mailing Address - Street 1:1516 ELKTON PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2518
Mailing Address - Country:US
Mailing Address - Phone:513-623-9923
Mailing Address - Fax:
Practice Address - Street 1:1516 ELKTON PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2518
Practice Address - Country:US
Practice Address - Phone:513-623-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant