Provider Demographics
NPI:1942996830
Name:EMINENT CARE OPTIONS LLC
Entity Type:Organization
Organization Name:EMINENT CARE OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-748-2830
Mailing Address - Street 1:10921 REED HARTMAN HWY STE 209G
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2850
Mailing Address - Country:US
Mailing Address - Phone:513-748-2830
Mailing Address - Fax:
Practice Address - Street 1:10921 REED HARTMAN HWY STE 209G
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2850
Practice Address - Country:US
Practice Address - Phone:513-748-2830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care