Healthcare Provider Details

I. General information

NPI: 1518194356
Provider Name (Legal Business Name): HERITAGE DAY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E DUBLIN GRANVILLE RD
COLUMBUS OH
43229-3525
US

IV. Provider business mailing address

2335 N BANK DR
COLUMBUS OH
43220-5423
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-1099
  • Fax: 614-890-1088
Mailing address:
  • Phone: 614-451-2151
  • Fax: 614-442-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateOH

VIII. Authorized Official

Name: SUSAN DIMICKELE
Title or Position: PRESIDENT
Credential:
Phone: 614-451-2151