Provider Demographics
NPI:1306624192
Name:JENKINS FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:JENKINS FAMILY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CIMHS
Authorized Official - Phone:513-633-0036
Mailing Address - Street 1:260 NORTHLAND BLVD, STE. 327 CINCINNATI, OH 45246
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI-SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-633-0036
Mailing Address - Fax:
Practice Address - Street 1:260 NORTHLAND BLVD STE 327
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4921
Practice Address - Country:US
Practice Address - Phone:513-633-0036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JENKINS FAMILY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)