Provider Demographics
NPI:1669292314
Name:RESIDENTIAL HOME LIVING SERVICES, LLC
Entity type:Organization
Organization Name:RESIDENTIAL HOME LIVING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENIYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:513-378-8955
Mailing Address - Street 1:11455 OXFORDSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2812
Mailing Address - Country:US
Mailing Address - Phone:513-378-8955
Mailing Address - Fax:513-417-8360
Practice Address - Street 1:11455 OXFORDSHIRE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2812
Practice Address - Country:US
Practice Address - Phone:513-378-8955
Practice Address - Fax:513-417-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty