Provider Demographics
NPI:1316737497
Name:MOUNT MARY HOME HEALTH LLC
Entity type:Organization
Organization Name:MOUNT MARY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ADELINE
Authorized Official - Middle Name:ABENG
Authorized Official - Last Name:KEMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-499-6734
Mailing Address - Street 1:1440 W KEMPER RD APT 414
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1671
Mailing Address - Country:US
Mailing Address - Phone:513-499-6734
Mailing Address - Fax:
Practice Address - Street 1:1440 W KEMPER RD APT 414
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1671
Practice Address - Country:US
Practice Address - Phone:513-499-6734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care