Provider Demographics
NPI:1891003737
Name:NEW CONCEPTS II LLC
Entity type:Organization
Organization Name:NEW CONCEPTS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANECIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:513-607-5524
Mailing Address - Street 1:2868 COMPTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-2634
Mailing Address - Country:US
Mailing Address - Phone:513-712-8182
Mailing Address - Fax:
Practice Address - Street 1:2868 COMPTON RD STE 100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-2634
Practice Address - Country:US
Practice Address - Phone:513-712-8182
Practice Address - Fax:513-880-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3094164Medicaid