Healthcare Provider Details

I. General information

NPI: 1912905167
Provider Name (Legal Business Name): HERITAGESPRING HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 HERITAGESPRING DR
WEST CHESTER OH
45069-6526
US

IV. Provider business mailing address

390 WARDS CORNER RD
LOVELAND OH
45140-6969
US

V. Phone/Fax

Practice location:
  • Phone: 513-759-5777
  • Fax: 513-759-6720
Mailing address:
  • Phone: 513-943-4000
  • Fax: 513-943-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2407
License Number StateOH

VIII. Authorized Official

Name: MR. DAVID EPPERS
Title or Position: CFO
Credential: CPA
Phone: 513-707-1537