ACTIVE LIFE HEALTH OF CINCINNATI LLC (NPI# 1740803980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740803980 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE HEALTH OF CINCINNATI LLC |
| Practice Address |
8251 Pine Rd Ste 205 Cincinnati OH 45236-2191 |
| Practice Telephone | 5139045888 |
| Practice Fax Number | 5139045867 |
| Mailing Telephone | 5139045888 |
| Mailing Fax Number | 5139045867 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | JOHN J RUSH (CHAIRMAN & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3019281697 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513193 | Active Life Health of Cincinnati LLC | Physical Medicine & Rehabilitation | 8251 Pine Rd Ste 205, Cincinnati, OH 45236-2191 | 2019-05-17 |
| Street Address |
8251 PINE RD STE 205 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513193 | Active Life Health of Cincinnati LLC | Physical Medicine & Rehabilitation | 8251 Pine Rd Ste 205, Cincinnati, OH 45236-2191 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720325 | Mary Barkley | Durable Medical Equipment & Medical Supplies | 7809 Affinity Dr, Cincinnati, OH 45231-3569 | 2020-02-03 |
| 1710524954 | Dasco-christ Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4760 Red Bank Rd Ste 232, Cincinnati, OH 45227-1548 | 2019-12-06 |
| 1972154128 | Platinum Supplies | Durable Medical Equipment & Medical Supplies | 9344 Comstock Dr, Cincinnati, OH 45231-2807 | 2019-09-27 |
| 1427520949 | Eric Reisman | Durable Medical Equipment & Medical Supplies | 5340 Rapid Run Rd Ste 7, Cincinnati, OH 45238-4260 | 2018-12-21 |
| 1154829968 | Independent Mobility Services Inc | Durable Medical Equipment & Medical Supplies | 10389 Wayne Ave, Cincinnati, OH 45215-1156 | 2018-01-26 |
| 1366951907 | My Erzulie Hair LLC | Durable Medical Equipment & Medical Supplies | 2604 Price Ave Apt 7, Cincinnati, OH 45204-1452 | 2017-09-27 |
| 1629590799 | By Andrea D. | Durable Medical Equipment & Medical Supplies | 1212 Sycamore St Ste 22b, Cincinnati, OH 45202-7355 | 2017-07-11 |
| 1992245963 | Healing Springs Med- Care LLC | Durable Medical Equipment & Medical Supplies | 1821 Summit Rd Ste 200, Cincinnati, OH 45237-2819 | 2017-02-24 |
| 1265880165 | Firstlight Homecare Franchising LLC | Durable Medical Equipment & Medical Supplies | 7870 E Kemper Rd, Suite 440, Cincinnati, OH 45249-1675 | 2016-06-01 |
| 1689034589 | Healthmed Resources | Durable Medical Equipment & Medical Supplies | 2646 Beechmar Dr, Cincinnati, OH 45230-1207 | 2016-03-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on ACTIVE LIFE HEALTH OF CINCINNATI LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.