Healthcare Provider Details

I. General information

NPI: 1104710409
Provider Name (Legal Business Name): OHIO HOME HEARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7924 SILVER LAKE CT
WESTERVILLE OH
43082-7740
US

IV. Provider business mailing address

752 N STATE ST STE 419
WESTERVILLE OH
43082-9066
US

V. Phone/Fax

Practice location:
  • Phone: 614-556-2025
  • Fax:
Mailing address:
  • Phone: 614-556-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER WELLS
Title or Position: CEO
Credential:
Phone: 614-556-2025