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CARRIAGE COURT KENWOOD LLC NPI 1043415920


NPI Information

NPI: 1043415920
Provider Name: CARRIAGE COURT KENWOOD, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
4650 E GALBRAITH RD
CINCINNATI, OH
ZIP 45236
Phone: (513) 792-9697
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CARRIAGE COURT KENWOOD, LLC is a point of service in Cincinnati, OH. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CARRIAGE COURT KENWOOD, LLC NPI is 1043415920. The provider is registered as an organization entity type.

The provider's business location address is:

4650 E GALBRAITH RD
CINCINNATI, OH
ZIP 45236-792
Phone: (513) 792-9697
Fax: (513) 792-9698

The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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