Provider Demographics
NPI:1073701348
Name:ENHANCED HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ENHANCED HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:512-258-9586
Mailing Address - Street 1:791 E MCMILLAN ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1910
Mailing Address - Country:US
Mailing Address - Phone:513-258-9586
Mailing Address - Fax:
Practice Address - Street 1:791 E MCMILLAN ST STE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-1938
Practice Address - Country:US
Practice Address - Phone:513-258-9586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOT-6158OtherOCCUPATIONAL THERAPY LICE