Provider Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDER HOME HEALTHCARE LLC

Practice address

5754 Balsam Dr
Liberty Township, OH 45044-8602

Phone

(513) 442-1802

Fax

(513) 442-2050

NPI assigned

Mar 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheena Kambule, RN

Title

Ceo

Phone

(513) 808-8872

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1104772243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 BALSAM DR",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448602",
            "telephone_number": "513-442-1802",
            "fax_number": "513-442-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 BALSAM DR",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448602",
            "telephone_number": "513-442-1802",
            "fax_number": "513-442-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "KAMBULE",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-808-8872",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.