Provider Demographics
NPI:1568187953
Name:ALEXA WAY LLC
Entity Type:Organization
Organization Name:ALEXA WAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO - DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-502-0425
Mailing Address - Street 1:7183 SCARLET OAK CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7304
Mailing Address - Country:US
Mailing Address - Phone:513-502-0425
Mailing Address - Fax:513-729-6552
Practice Address - Street 1:1230 ANTHONY LN
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1139
Practice Address - Country:US
Practice Address - Phone:513-502-0425
Practice Address - Fax:513-729-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0498311Medicaid
OH8305277OtherDODD CONTRACT NUMBER