Healthcare Provider Details

I. General information

NPI: 1780549121
Provider Name (Legal Business Name): FOUNDATION HEALTH DPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 RIDGE RD UNIT B
HINCKLEY OH
44233-9258
US

IV. Provider business mailing address

1705 MEADOW DR
HINCKLEY OH
44233-9524
US

V. Phone/Fax

Practice location:
  • Phone: 330-952-4960
  • Fax: 330-615-7735
Mailing address:
  • Phone: 330-952-4960
  • Fax: 330-615-7735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIEL MANCINI
Title or Position: OWNER
Credential: DO
Phone: 330-952-4960