Provider Demographics
NPI:1285020636
Name:JENNINGS HOME HEALTH CARE
Entity Type:Organization
Organization Name:JENNINGS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIMETA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-570-1620
Mailing Address - Street 1:260 NORTHLAND BLVD
Mailing Address - Street 2:STE 105B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4917
Mailing Address - Country:US
Mailing Address - Phone:513-570-1620
Mailing Address - Fax:
Practice Address - Street 1:260 NORTHLAND BLVD
Practice Address - Street 2:STE 105B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4917
Practice Address - Country:US
Practice Address - Phone:513-570-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health