Provider Demographics
NPI:1750648242
Name:HOMEFRONT NURSING LLC
Entity Type:Organization
Organization Name:HOMEFRONT NURSING LLC
Other - Org Name:HOMEFRONT MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:AGOBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-771-1812
Mailing Address - Street 1:149 NORTHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3121
Mailing Address - Country:US
Mailing Address - Phone:513-771-1812
Mailing Address - Fax:513-771-1816
Practice Address - Street 1:149 NORTHLAND BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3121
Practice Address - Country:US
Practice Address - Phone:513-771-1812
Practice Address - Fax:513-771-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies