Healthcare Provider Details

I. General information

NPI: 1962360834
Provider Name (Legal Business Name): JADA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 BUTTONWOOD CT
GAHANNA OH
43230-6229
US

IV. Provider business mailing address

6095 EMMA KATHRYN APT 305
WESTERVILLE OH
43081-4291
US

V. Phone/Fax

Practice location:
  • Phone: 614-600-9995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: