Deairr Jamekia Broomes
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cincinnati, OH
NPI 1104675339 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1104675339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Practice address
- 929 E McMillan St Apt 217
Cincinnati, OH 45206-3510 - Phone
- (513) 814-7775
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
929 E McMillan St Apt 217
Cincinnati, OH 45206-3510
Mailing address
929 E McMillan St Apt 217
Cincinnati, OH 45206-3510
Phone (513) 814-7775
Other providers in Cincinnati, OH
- Alana Brookshire
- Anthony Brookshire
- Brookwood Opco LLC
- Brookwood Opco LLC
- David Broomall
- Sonya D Broomes
- Jason Broomfield
- Nicole Broomfield
- Jason Frank Broomhall
- Edward L Brose III
All providers in Cincinnati, OH · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.