Healthcare Provider Details

I. General information

NPI: 1932048451
Provider Name (Legal Business Name): HEART AND SOUL LIVING ASSISTANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4095 VICTORY PKWY APT 9
CINCINNATI OH
45229-1712
US

IV. Provider business mailing address

4095 VICTORY PKWY APT 9
CINCINNATI OH
45229-1712
US

V. Phone/Fax

Practice location:
  • Phone: 513-952-0373
  • Fax:
Mailing address:
  • Phone: 513-952-0373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA WEBB
Title or Position: OWNER
Credential: STNA
Phone: 513-952-0373