Provider Demographics
NPI:1891233995
Name:KURE HOME CARE LLC
Entity Type:Organization
Organization Name:KURE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MUNIRATU
Authorized Official - Middle Name:ABIOLA
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-291-0250
Mailing Address - Street 1:230 NORTHLAND BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3609
Mailing Address - Country:US
Mailing Address - Phone:800-986-5190
Mailing Address - Fax:513-954-4001
Practice Address - Street 1:230 NORTHLAND BLVD STE 130
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3609
Practice Address - Country:US
Practice Address - Phone:513-291-0250
Practice Address - Fax:513-954-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125176251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1174889398Medicaid