Healthcare Provider Details

I. General information

NPI: 1275202665
Provider Name (Legal Business Name): MR. ERIC ROBERT SCHUTTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 E ARCADIA AVE
COLUMBUS OH
43202-2437
US

IV. Provider business mailing address

820 DEERVALLEY DR
CINCINNATI OH
45245-1144
US

V. Phone/Fax

Practice location:
  • Phone: 513-324-7730
  • Fax:
Mailing address:
  • Phone: 513-324-7730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: