Provider Demographics
NPI:1033534649
Name:A & D SUPPORTIVE SERVICES
Entity Type:Organization
Organization Name:A & D SUPPORTIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:513-442-9416
Mailing Address - Street 1:669 W SHARON RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3627
Mailing Address - Country:US
Mailing Address - Phone:513-442-9416
Mailing Address - Fax:
Practice Address - Street 1:669 W SHARON RD
Practice Address - Street 2:UNIT A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3627
Practice Address - Country:US
Practice Address - Phone:513-442-9416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251C00000X, 251E00000X, 251J00000X, 251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care