Provider Demographics
NPI:1417202516
Name:CINCICARES HOME CARE
Entity Type:Organization
Organization Name:CINCICARES HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:WAKLATSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-389-7634
Mailing Address - Street 1:8050 BECKETT CENTER DR
Mailing Address - Street 2:SUITE 325
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5017
Mailing Address - Country:US
Mailing Address - Phone:513-389-7634
Mailing Address - Fax:513-389-7633
Practice Address - Street 1:8050 BECKETT CENTER DR
Practice Address - Street 2:SUITE 325
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5017
Practice Address - Country:US
Practice Address - Phone:513-389-7634
Practice Address - Fax:513-389-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2120057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health