MEDICARE: HEART AND SOUL LIVING ASSISTANCE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1932048451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART AND SOUL LIVING ASSISTANCE LLC

Provider Business Mailing Address
First Line	:	4095 VICTORY PKWY APT 9
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-1712
Country	:	US
Telephone Number	:	513-952-0373
Fax Number	:

Provider Business Practice Location Address
First Line	:	4095 VICTORY PKWY APT 9
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-1712
Country	:	US
Telephone Number	:	513-952-0373
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA WEBB
Credential	:	STNA
Telephone Number	:	513-952-0373

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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