Healthcare Provider Details
I. General information
NPI: 1760250195
Provider Name (Legal Business Name): HUNTS INDEPENDENT HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2023
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
433 S HIGHLAND AVE
COLUMBUS OH
43223-1053
US
IV. Provider business mailing address
433 S HIGHLAND AVE
COLUMBUS OH
43223-1053
US
V. Phone/Fax
- Phone: 614-695-5503
- Fax:
- Phone: 614-695-5503
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3140N1450X |
| Taxonomy | Pediatric Skilled Nursing Facility |
| License Number | |
| License Number State | NULL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
UNIQUE
HUNT
Title or Position: OWNER
Credential:
Phone: 614-695-5503