Provider Demographics
NPI:1144519844
Name:AFEMAI SUPPORTED LIVING
Entity type:Organization
Organization Name:AFEMAI SUPPORTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:EKHAEYEMHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-889-8392
Mailing Address - Street 1:230 NORTHLAND BLVD STE 216
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3752
Mailing Address - Country:US
Mailing Address - Phone:513-972-1987
Mailing Address - Fax:
Practice Address - Street 1:230 NORTHLAND BLVD STE 216
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3752
Practice Address - Country:US
Practice Address - Phone:513-972-1987
Practice Address - Fax:866-262-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X, 251C00000X, 253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2772290Medicaid