Healthcare Provider Details

I. General information

NPI: 1992616288
Provider Name (Legal Business Name): KRISTINA HART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13159 STATE ROUTE 55
SAINT PARIS OH
43072-9726
US

IV. Provider business mailing address

3975 W US HIGHWAY 36
URBANA OH
43078-8603
US

V. Phone/Fax

Practice location:
  • Phone: 937-688-0657
  • 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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: