Provider Demographics
NPI:1316020142
Name:CARDINAL HOME HEALTHCARE SOLUTIONS INC.
Entity Type:Organization
Organization Name:CARDINAL HOME HEALTHCARE SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LATTIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-271-6700
Mailing Address - Street 1:2248 LOSANTIVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-4206
Mailing Address - Country:US
Mailing Address - Phone:513-271-6700
Mailing Address - Fax:513-271-6701
Practice Address - Street 1:2248 LOSANTIVILLE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4206
Practice Address - Country:US
Practice Address - Phone:513-271-6700
Practice Address - Fax:513-271-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH368094251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2557199Medicaid
OH2557199Medicaid