Provider Demographics
NPI:1033950001
Name:MOUNT SINAI CARE LLC
Entity type:Organization
Organization Name:MOUNT SINAI CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MINTAH
Authorized Official - Suffix:I
Authorized Official - Credentials:MR
Authorized Official - Phone:513-550-5950
Mailing Address - Street 1:2120 GRAND TETON CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3838
Mailing Address - Country:US
Mailing Address - Phone:513-550-5950
Mailing Address - Fax:
Practice Address - Street 1:2120 GRAND TETON CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3838
Practice Address - Country:US
Practice Address - Phone:513-550-5950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health