Provider Demographics
NPI:1235907452
Name:REINERT, HAVANNAH PAIGE
Entity Type:Individual
Prefix:
First Name:HAVANNAH
Middle Name:PAIGE
Last Name:REINERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 DARLINGTON RD # 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2424
Mailing Address - Country:US
Mailing Address - Phone:513-275-8284
Mailing Address - Fax:
Practice Address - Street 1:33 DARLINGTON RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2424
Practice Address - Country:US
Practice Address - Phone:513-275-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVF6599854374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty