Healthcare Provider Details

I. General information

NPI: 1447185558
Provider Name (Legal Business Name): ANTHONY C FREY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8287 POLO TRAIL PL
WEST CHESTER OH
45069-2784
US

IV. Provider business mailing address

8287 POLO TRAIL PL
WEST CHESTER OH
45069-2784
US

V. Phone/Fax

Practice location:
  • Phone: 513-693-5169
  • Fax:
Mailing address:
  • Phone: 513-693-5169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: