Provider Demographics
NPI:1205291614
Name:QUEEN CITY HOMECARE, LLC
Entity type:Organization
Organization Name:QUEEN CITY HOMECARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-281-8000
Mailing Address - Street 1:7321 MONTGOMERY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3970
Mailing Address - Country:US
Mailing Address - Phone:513-281-8000
Mailing Address - Fax:513-281-0264
Practice Address - Street 1:7321 MONTGOMERY RD STE 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3970
Practice Address - Country:US
Practice Address - Phone:513-281-8000
Practice Address - Fax:513-281-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care