Healthcare Provider Details

I. General information

NPI: 1477279719
Provider Name (Legal Business Name): AMERICAN HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 VENTURE DR
DUBLIN OH
43017-2166
US

IV. Provider business mailing address

5920 VENTURE DR
DUBLIN OH
43017-2166
US

V. Phone/Fax

Practice location:
  • Phone: 614-760-7352
  • Fax: 614-760-7356
Mailing address:
  • Phone: 614-760-7352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. J. MICHAEL HAEMMERLE
Title or Position: SECRETARY
Credential:
Phone: 614-798-5110