Provider Demographics
NPI:1568913481
Name:EPHIPHANY HOME CARE @ BEST, LLC
Entity Type:Organization
Organization Name:EPHIPHANY HOME CARE @ BEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARHONDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-316-5619
Mailing Address - Street 1:6082 TOWNVISTA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1718
Mailing Address - Country:US
Mailing Address - Phone:513-316-5619
Mailing Address - Fax:513-481-1875
Practice Address - Street 1:6082 TOWNVISTA DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1718
Practice Address - Country:US
Practice Address - Phone:513-316-5619
Practice Address - Fax:513-481-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0905686253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0144009OtherODJFS MEDICAID PROVIDER NUMBER