Healthcare Provider Details

I. General information

NPI: 1144170408
Provider Name (Legal Business Name): FORESTETTA PITTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 S MAIN ST APT 319
LIMA OH
45804-1559
US

IV. Provider business mailing address

5566 SAINT JOHNS RD
LIMA OH
45806-2928
US

V. Phone/Fax

Practice location:
  • Phone: 419-233-2008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: