EAGLE GRACE HEALTH CARE LLC. (NPI# 1942858212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942858212 |
| Entity Type | Organization |
| Organization Name | EAGLE GRACE HEALTH CARE LLC. |
| Practice Address |
260 Northland Blvd Ste 114b Cincinnati OH 45246-3726 |
| Practice Telephone | 5137710843 |
| Practice Fax Number | 5137710492 |
| Mailing Telephone | 5137710843 |
| Mailing Fax Number | 5137710492 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | DENIS TSHIABA MULUNDA (CEO) |
| Authorized Official Telephone | 5134850109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| eagle grace health care | Doing Business As Name - Organization |
| Street Address |
260 NORTHLAND BLVD STE 114B |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205175 | Yiskah R Israel | Home Health Aide | 1701 Flora Ave, Cincinnati, OH 45231-5215 | 2020-11-04 |
| 1760082622 | Samara Monique Parks | Home Health Aide | 6559 Plainfield Rd Apt 1, Cincinnati, OH 45213-1927 | 2020-10-29 |
| 1518567809 | Loretta Ugoji | Home Health Aide | 11109 Hamilton Ave, Cincinnati, OH 45231-1325 | 2020-10-27 |
| 1710586508 | Joan A Robertson | Home Health Aide | 3032 Burning Tree Ln, Cincinnati, OH 45237-1716 | 2020-10-22 |
| 1013516491 | Brian K Sams | Home Health Aide | 714 Danbury Rd, Cincinnati, OH 45240-3104 | 2020-10-18 |
| 1295333128 | Quaid D Arnold Jr. | Home Health Aide | 9996 Shellbark Ln, Cincinnati, OH 45231-2356 | 2020-10-13 |
| 1942808266 | Elizabeth Tanks | Home Health Aide | 2784 Baker Ave, Cincinnati, OH 45211-8157 | 2020-10-09 |
| 1962009621 | Shawntay Difaner Chapman | Home Health Aide | 1018 Jonquil Ln, Cincinnati, OH 45231-4718 | 2020-10-06 |
| 1306443361 | Dorrinna Maria Gamble | Home Health Aide | 2018 Quail Ct Apt 33, Cincinnati, OH 45240-4643 | 2020-10-02 |
| 1881201614 | Cheryl A Bartenberger | Home Health Aide | 7128 Royalgreen Dr, Cincinnati, OH 45244-3623 | 2020-09-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
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| 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.