Healthcare Provider Details

I. General information

NPI: 1982392981
Provider Name (Legal Business Name): HEALTH WITH HEART SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7368 KINGSGATE WAY UNIT A
WEST CHESTER OH
45069-3367
US

IV. Provider business mailing address

7368 KINGSGATE WAY UNIT A
WEST CHESTER OH
45069-3367
US

V. Phone/Fax

Practice location:
  • Phone: 513-229-8888
  • Fax:
Mailing address:
  • Phone: 513-229-8888
  • Fax: 513-677-5168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDA L MARSHALL
Title or Position: SOCIAL WORK CARE MANAGER
Credential: LSW, C-SWCM, C-PD, C
Phone: 513-229-8888