Healthcare Provider Details

I. General information

NPI: 1225999410
Provider Name (Legal Business Name): TRUPATH COMMUNITY LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S MAIN STREET BOX 29
MONROE OH
45050-6406
US

IV. Provider business mailing address

301 S MAIN STREET BOX 29
MONROE OH
45050-6406
US

V. Phone/Fax

Practice location:
  • Phone: 513-290-5923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KYACA HATCHER
Title or Position: OWNER
Credential:
Phone: 513-290-5923