Provider Demographics
NPI:1578162533
Name:D&C ENHANCED HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:D&C ENHANCED HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRIBBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-448-9973
Mailing Address - Street 1:10999 REED HARTMAN HWY STE 326
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-8303
Mailing Address - Country:US
Mailing Address - Phone:513-832-1234
Mailing Address - Fax:
Practice Address - Street 1:10999 REED HARTMAN HWY STE 326
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-832-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty