MEDICARE: STEADFAST LOVING HOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1124973060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEADFAST LOVING HOMES

Provider Business Mailing Address
First Line	:	2246 S HAMILTON RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	607-425-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	2246 S HAMILTON RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	607-425-9706
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QUEEN HEFFRON
Credential	:
Telephone Number	:	607-425-9706

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “STEADFAST LOVING HOMES ” Practice Location

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