Healthcare Provider Details

I. General information

NPI: 1598684334
Provider Name (Legal Business Name): BYASSPREMIERHEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 S LIBERTY ST
POWELL OH
43065-9115
US

IV. Provider business mailing address

8763 ARROWTIP LN
LEWIS CENTER OH
43035-7279
US

V. Phone/Fax

Practice location:
  • Phone: 614-296-3599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PRINCESS HEIRSMAC
Title or Position: MANAGER
Credential:
Phone: 614-296-3599