Provider Demographics
NPI:1184295024
Name:GOOD SUPPORT HOME CARE
Entity type:Organization
Organization Name:GOOD SUPPORT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-708-5724
Mailing Address - Street 1:9581 BLUEWING TER
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3304
Mailing Address - Country:US
Mailing Address - Phone:513-708-5724
Mailing Address - Fax:
Practice Address - Street 1:1172 W GALBRAITH RD STE 207
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5643
Practice Address - Country:US
Practice Address - Phone:513-708-5724
Practice Address - Fax:513-978-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care