Healthcare Provider Details

I. General information

NPI: 1962492934
Provider Name (Legal Business Name): HEALTH CARE VENTURES OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E 4TH ST
OTTAWA OH
45875-1540
US

IV. Provider business mailing address

1661 OLD HENDERSON RD
COLUMBUS OH
43220-3644
US

V. Phone/Fax

Practice location:
  • Phone: 419-523-4370
  • Fax:
Mailing address:
  • Phone: 717-730-8710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAUL DAUERMAN
Title or Position: OWNER
Credential:
Phone: 717-730-8710