MEDICARE: ERZULIE HEALTH SYSTEMS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1306712773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERZULIE HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	2066 CONNECTICUT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2367
Country	:	US
Telephone Number	:	513-801-3895
Fax Number	:

Provider Business Practice Location Address
First Line	:	2066 CONNECTICUT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2367
Country	:	US
Telephone Number	:	513-801-3895
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICOLE HEARD
Credential	:
Telephone Number	:	513-801-3895

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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1003819954 — REGENCY VILLAGE, LTD
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Directions to “ERZULIE HEALTH SYSTEMS ” Practice Location

Language	Start Address	Practice Location

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