Provider Demographics
NPI:1679032056
Name:CINCINNATI CHRISTIAN ADULT MINISTRIES CENTER
Entity Type:Organization
Organization Name:CINCINNATI CHRISTIAN ADULT MINISTRIES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:A. H.
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:513-281-2103
Mailing Address - Street 1:3663 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2115
Mailing Address - Country:US
Mailing Address - Phone:513-281-2103
Mailing Address - Fax:513-281-2345
Practice Address - Street 1:3663 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2115
Practice Address - Country:US
Practice Address - Phone:513-281-2103
Practice Address - Fax:513-281-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty