MEDICARE: HEALTHY BEGINNINGS INC

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689858003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY BEGINNINGS INC

Provider Business Mailing Address
First Line	:	210 WILLIAM HOWARD TAFT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2611
Country	:	US
Telephone Number	:	513-861-8430
Fax Number	:	513-861-2348

Provider Business Practice Location Address
First Line	:	4424 AICHOLTZ RD
Second Line	:	SUITE C1
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1561
Country	:	US
Telephone Number	:	513-753-1801
Fax Number	:	513-753-5637

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DONNA PHELPS
Credential	:
Telephone Number	:	513-559-3413

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	12/20/2007

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