Provider Demographics
NPI:1073239976
Name:M.E.R.G.E CINCINNATI LLP
Entity Type:Organization
Organization Name:M.E.R.G.E CINCINNATI LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-807-3920
Mailing Address - Street 1:2917 WARDALL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-4903
Mailing Address - Country:US
Mailing Address - Phone:513-807-3920
Mailing Address - Fax:
Practice Address - Street 1:2917 WARDALL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-4903
Practice Address - Country:US
Practice Address - Phone:513-807-3920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child