Provider Demographics
NPI:1437899374
Name:THE O'NEAL WELLNESS HOME LLC
Entity Type:Organization
Organization Name:THE O'NEAL WELLNESS HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHENIEA
Authorized Official - Middle Name:DONNISE
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-371-8041
Mailing Address - Street 1:4439 READING RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1256
Mailing Address - Country:US
Mailing Address - Phone:513-371-8041
Mailing Address - Fax:
Practice Address - Street 1:4439 READING RD STE 100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-1256
Practice Address - Country:US
Practice Address - Phone:513-371-8041
Practice Address - Fax:513-586-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home