Provider Demographics
NPI:1861096497
Name:CINCINNATI'S OPTIMUM RESIDENTIAL ENVIRONMENTS, INC.
Entity type:Organization
Organization Name:CINCINNATI'S OPTIMUM RESIDENTIAL ENVIRONMENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-771-2673
Mailing Address - Street 1:75 TRI COUNTY PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3218
Mailing Address - Country:US
Mailing Address - Phone:513-771-2673
Mailing Address - Fax:513-326-6075
Practice Address - Street 1:75 TRI COUNTY PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3218
Practice Address - Country:US
Practice Address - Phone:513-771-2673
Practice Address - Fax:513-326-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities