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General NPI Number Information
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NPI Number | 1689238388
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Entity Type | Organization
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Legal Business Name | STEADFAST MOBILE HEALTHCARE LLC
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Dates
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Enumeration Date | 04/28/2019
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 7237 CINCINNATI DAYTON RD STE 102
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City | WEST CHESTER
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State | OH
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Zip | 45069-1774
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Country | US
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Telephone | 513-847-1792
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Fax | 513-586-0253
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Provider Business Mailing Address
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Address Line | 7541 HICKORY KNOLL DR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-5097
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANDREA PARKER
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Credential |
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Telephone | 513-847-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0900X
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Taxonomy Name | Amputee Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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