Provider Demographics
NPI:1508843376
Name:CAREGIVERS HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:CAREGIVERS HEALTH NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-662-3400
Mailing Address - Street 1:2135 DANA AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1313
Mailing Address - Country:US
Mailing Address - Phone:513-662-3400
Mailing Address - Fax:513-662-3071
Practice Address - Street 1:2135 DANA AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1313
Practice Address - Country:US
Practice Address - Phone:513-662-3400
Practice Address - Fax:513-662-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH368055251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2499756Medicaid
OH2499756Medicaid