Provider Demographics
NPI:1629859855
Name:SAMISM HEALTHCARE LLC
Entity Type:Organization
Organization Name:SAMISM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, DOO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-616-6345
Mailing Address - Street 1:1159 STATE ROUTE 131
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2717
Mailing Address - Country:US
Mailing Address - Phone:513-616-6345
Mailing Address - Fax:
Practice Address - Street 1:1159 STATE ROUTE 131
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2717
Practice Address - Country:US
Practice Address - Phone:513-616-6345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care