Organization
EPHIPHANY HOME CARE @ BEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARHONDA M SPEARS (CHIEF EXECUTIVE OFFICER/ OWNER)
(513) 316-5619
Entity
Organization
Contact information
Practice address
6082 TOWNVISTA DR, CINCINNATI, OH 45224-1718
(513) 316-5619
(513) 481-1875
Mailing address
6082 TOWNVISTA DR, CINCINNATI, OH 45224-1718
(513) 316-5619
(513) 481-1875
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0905686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144009
ODJFS MEDICAID PROVIDER NUMBER
OH
Enumeration date
10/14/2016
Last updated
10/26/2016
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