Provider Demographics
NPI:1740928431
Name:WINTERROWD, HEATHER D
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:WINTERROWD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:D
Other - Last Name:WINTERROWD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:841 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46615-2215
Mailing Address - Country:US
Mailing Address - Phone:574-383-1038
Mailing Address - Fax:
Practice Address - Street 1:841 S 27TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-2215
Practice Address - Country:US
Practice Address - Phone:574-383-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant