Provider Demographics
NPI:1053883835
Name:HONOR LIVES
Entity type:Organization
Organization Name:HONOR LIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE TEST CERTIFIED NURSE AIDE
Authorized Official - Prefix:
Authorized Official - First Name:JOHNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-348-2198
Mailing Address - Street 1:528 E 13TH ST # 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7408
Mailing Address - Country:US
Mailing Address - Phone:513-348-2198
Mailing Address - Fax:
Practice Address - Street 1:528 E 13TH ST # 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-7408
Practice Address - Country:US
Practice Address - Phone:513-348-2198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health