Provider Demographics
NPI:1952105462
Name:HEIPP, XAVIER RAYMOND
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:RAYMOND
Last Name:HEIPP
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 SHAKESPEARE LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1975
Mailing Address - Country:US
Mailing Address - Phone:216-313-6337
Mailing Address - Fax:
Practice Address - Street 1:34357 PUTH DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1913
Practice Address - Country:US
Practice Address - Phone:216-313-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker