Provider Demographics
NPI:1275881757
Name:BAGGETT, TIMITA RENEE
Entity Type:Individual
Prefix:MS
First Name:TIMITA
Middle Name:RENEE
Last Name:BAGGETT
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 1:7752 MONTGOMERY RD UNIT 71
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4273
Mailing Address - Country:US
Mailing Address - Phone:513-557-6192
Mailing Address - Fax:
Practice Address - Street 1:7752 MONTGOMERY RD UNIT 71
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4273
Practice Address - Country:US
Practice Address - Phone:513-557-6192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker