Healthcare Provider Details
I. General information
NPI: 1164366654
Provider Name (Legal Business Name): WARD COMPREHENSIVE HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7556 JOHN ARTHUR LN
WADSWORTH OH
44281-8753
US
IV. Provider business mailing address
7556 JOHN ARTHUR LN
WADSWORTH OH
44281-8753
US
V. Phone/Fax
- Phone: 234-398-7930
- Fax:
- Phone: 234-398-7930
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUSTIN
WARD
Title or Position: TAX ID OWNER
Credential: CNP
Phone: 234-398-7930