MEDICARE: A GENEROUS HEART LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1851230742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A GENEROUS HEART LLC

Provider Business Mailing Address
First Line	:	1022 WARWICK AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3440
Country	:	US
Telephone Number	:	567-249-9379
Fax Number	:	567-249-9379

Provider Business Practice Location Address
First Line	:	1022 WARWICK AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3440
Country	:	US
Telephone Number	:	567-249-9379
Fax Number	:	567-249-9379

Authorized Official
Title or Position	:	CEO
Name	:	LATAUSHA LYNN SCOTT
Credential	:
Telephone Number	:	567-249-9379

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “A GENEROUS HEART LLC ” Practice Location

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