Provider Demographics
NPI:1205277027
Name:JUST 4 ME, LLC
Entity type:Organization
Organization Name:JUST 4 ME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-834-7843
Mailing Address - Street 1:7524 MONTGOMERY RD APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4322
Mailing Address - Country:US
Mailing Address - Phone:513-834-7843
Mailing Address - Fax:
Practice Address - Street 1:6300 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-5108
Practice Address - Country:US
Practice Address - Phone:513-481-0048
Practice Address - Fax:513-385-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251E00000X, 253J00000X
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3117148OtherOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH0072032OtherODJFS MEDICAID PROVIDER NUMBER