Provider Demographics
NPI:1013883537
Name:NILL, ALACIA
Entity type:Individual
Prefix:
First Name:ALACIA
Middle Name:
Last Name:NILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WILLETSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8524
Mailing Address - Country:US
Mailing Address - Phone:937-763-5590
Mailing Address - Fax:
Practice Address - Street 1:50 WILLETSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8524
Practice Address - Country:US
Practice Address - Phone:937-763-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide