Provider Demographics
NPI:1699969261
Name:ENHANCED HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:ENHANCED HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL/ PHYSICAL THERAPY SVS
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:513-258-9586
Mailing Address - Street 1:1225 BUDD ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1012
Mailing Address - Country:US
Mailing Address - Phone:513-258-9586
Mailing Address - Fax:
Practice Address - Street 1:1225 BUDD ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1012
Practice Address - Country:US
Practice Address - Phone:513-258-9586
Practice Address - Fax:855-544-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-6158225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY013794OtherOCCUPATIONAL THERAPY LICE