1417513193 NPI number — ACTIVE LIFE HEALTH OF CINCINNATI LLC

Table of content: (NPI 1417513193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417513193 NPI number — ACTIVE LIFE HEALTH OF CINCINNATI LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACTIVE LIFE HEALTH OF CINCINNATI LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417513193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 79662
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21279-0662
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-904-5888
Provider Business Mailing Address Fax Number:
513-904-5867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8251 PINE RD STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45236-2191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-904-5888
Provider Business Practice Location Address Fax Number:
513-904-5867
Provider Enumeration Date:
05/17/2019

Additional Information

Authorized Official

Authorized Official Last Name:
RUSH
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
301-928-1697

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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