Provider Demographics
NPI:1750990826
Name:SOARING TO HIGHER HEIGHTS TRANSITIONAL HOME
Entity type:Organization
Organization Name:SOARING TO HIGHER HEIGHTS TRANSITIONAL HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:TUBBS-OGUNJUMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-835-7896
Mailing Address - Street 1:7045 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3866
Mailing Address - Country:US
Mailing Address - Phone:513-835-7896
Mailing Address - Fax:
Practice Address - Street 1:7045 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3866
Practice Address - Country:US
Practice Address - Phone:514-835-7896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services