Provider Demographics
NPI:1487284147
Name:SIMMS, BRENDA (HHA/INDEPENDENT HOME)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:HHA/INDEPENDENT HOME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 DEBBE LN APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1623
Mailing Address - Country:US
Mailing Address - Phone:513-903-5385
Mailing Address - Fax:
Practice Address - Street 1:973 DEBBE LN APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-1623
Practice Address - Country:US
Practice Address - Phone:513-903-5385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH053171Other684986