Healthcare Provider Details

I. General information

NPI: 1316738602
Provider Name (Legal Business Name): KSH AGING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8880 CORNWALLIS CT
POWELL OH
43065-9026
US

IV. Provider business mailing address

8880 CORNWALLIS CT
POWELL OH
43065-9026
US

V. Phone/Fax

Practice location:
  • Phone: 614-259-8789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATIE SUE HUFFMAN
Title or Position: OWNER
Credential:
Phone: 614-259-8789