Healthcare Provider Details

I. General information

NPI: 1356163828
Provider Name (Legal Business Name): CULTURED HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 WOLF LEDGES PKWY STE 201
AKRON OH
44311-1052
US

IV. Provider business mailing address

411 WOLF LEDGES PKWY STE 201
AKRON OH
44311-1052
US

V. Phone/Fax

Practice location:
  • Phone: 513-549-4580
  • Fax:
Mailing address:
  • Phone: 513-549-4580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTANY KNOTT
Title or Position: CEO
Credential: MSN,RN
Phone: 513-549-4389