Provider Demographics
NPI:1053017889
Name:SANDERS, ASIA (STNA, PCA)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:STNA, PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11029 QUAILRIDGE CT APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2787
Mailing Address - Country:US
Mailing Address - Phone:513-903-5775
Mailing Address - Fax:
Practice Address - Street 1:11029 QUAILRIDGE CT APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2787
Practice Address - Country:US
Practice Address - Phone:513-903-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 332U00000X, 347C00000X, 374U00000X, 376J00000X
OH401984290717376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker