Provider Demographics
NPI:1801648290
Name:MAMAS CARE NURSING AGENCY LLC
Entity type:Organization
Organization Name:MAMAS CARE NURSING AGENCY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:AZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-501-5373
Mailing Address - Street 1:3411 AMBERWAY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3308
Mailing Address - Country:US
Mailing Address - Phone:513-501-5373
Mailing Address - Fax:
Practice Address - Street 1:3411 AMBERWAY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-3308
Practice Address - Country:US
Practice Address - Phone:513-501-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care