Provider Demographics
NPI:1760268213
Name:MOBILE HEALTHCARE LLC
Entity Type:Organization
Organization Name:MOBILE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:III
Authorized Official - Credentials:APRN
Authorized Official - Phone:513-675-5191
Mailing Address - Street 1:4818 GEMSTONE CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-3307
Mailing Address - Country:US
Mailing Address - Phone:513-675-5191
Mailing Address - Fax:
Practice Address - Street 1:9232 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-3416
Practice Address - Country:US
Practice Address - Phone:513-675-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty