Provider Demographics
NPI:1831425529
Name:CAREGIVERS FOR INDEPENDENCE LLC
Entity type:Organization
Organization Name:CAREGIVERS FOR INDEPENDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:513-893-0300
Mailing Address - Street 1:2121 HAMILTON MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1969
Mailing Address - Country:US
Mailing Address - Phone:513-893-0300
Mailing Address - Fax:513-893-0353
Practice Address - Street 1:2121 HAMILTON MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-1969
Practice Address - Country:US
Practice Address - Phone:513-893-0300
Practice Address - Fax:513-893-0353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2758912Medicaid