Provider Demographics
NPI:1407451719
Name:GARNER PROVIDER SERVICES
Entity Type:Organization
Organization Name:GARNER PROVIDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:513-761-1490
Mailing Address - Street 1:1296 W EASTMAN LN
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-2500
Mailing Address - Country:US
Mailing Address - Phone:513-761-1490
Mailing Address - Fax:
Practice Address - Street 1:141 NANSEN ST APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1746
Practice Address - Country:US
Practice Address - Phone:513-761-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care