Provider Demographics
NPI:1326120189
Name:CD PARTNERS HOMEWELL SERVICES
Entity Type:Organization
Organization Name:CD PARTNERS HOMEWELL SERVICES
Other - Org Name:HOMEWELL SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VISALLI
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:513-791-4824
Mailing Address - Street 1:10979 REED HARTMAN HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2800
Mailing Address - Country:US
Mailing Address - Phone:513-791-4824
Mailing Address - Fax:
Practice Address - Street 1:10979 REED HARTMAN HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2800
Practice Address - Country:US
Practice Address - Phone:513-791-4824
Practice Address - Fax:513-791-4825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 215654251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health