Provider Demographics
NPI:1316990351
Name:CINCINNATI HOME CARE INC.
Entity type:Organization
Organization Name:CINCINNATI HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:VINNA
Authorized Official - Middle Name:OBY
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-771-2760
Mailing Address - Street 1:742 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3141
Mailing Address - Country:US
Mailing Address - Phone:513-771-2760
Mailing Address - Fax:513-771-2764
Practice Address - Street 1:742 WAYCROSS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3141
Practice Address - Country:US
Practice Address - Phone:513-771-2760
Practice Address - Fax:513-771-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2765717Medicaid