| Executive Heritage's Assisted Living, Inc | |
|
4050 Executive Park Dr Ste 240 Cincinnati OH 45241-2094 | |
| (513) 518-4631 | |
| Not Available |
| Full Name | Executive Heritage's Assisted Living, Inc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 4050 Executive Park Dr Ste 240, Cincinnati, Ohio |
| Authorized Official Name and Position | Amanuel Daniachew (OWNER) |
| Authorized Official Contact | 6194036906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Heritage's Assisted Living, Inc 4050 Executive Park Dr Ste 240 Cincinnati OH 45241-2094 Ph: (513) 518-4631 | Executive Heritage's Assisted Living, Inc 4050 Executive Park Dr Ste 240 Cincinnati OH 45241-2094 Ph: (513) 518-4631 |
| NPI Number | 1437757143 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437757143 | NPI | - | NPPES |
| 0229867 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
Purposed Journey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11578 Norbourne Dr, Cincinnati, OH 45240 Phone: 513-478-9321 | |
Elite Supportive Living Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 954 W North Bend Rd Ste 304b, Cincinnati, OH 45224 Phone: 513-607-0384 | |
Hype Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Vine St Ste 401, Cincinnati, OH 45202 Phone: 513-848-4325 | |
Lisa M Lyall Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Winton Rd, Suite C, Cincinnati, OH 45231 Phone: 513-521-0500 Fax: 513-521-5010 | |
Cc-child/adult Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Albert Sabin Way, Cincinnati, OH 45229 Phone: 513-558-5823 Fax: 513-558-3880 | |
Rodney E. Vivian Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 5 Mile Rd, 240, Cincinnati, OH 45230 Phone: 513-232-3070 Fax: 513-232-5794 | |
Greater Cincinnati Behavioral Neuroscience Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 E Galbraith Road, Cincinnati, OH 45236 Phone: 513-745-5000 Fax: 513-791-7800 |