Provider Demographics
NPI:1043905094
Name:NYADA HOME HEALTH CARE
Entity Type:Organization
Organization Name:NYADA HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:OLU
Authorized Official - Middle Name:
Authorized Official - Last Name:OBOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-442-2215
Mailing Address - Street 1:3412 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1120
Mailing Address - Country:US
Mailing Address - Phone:410-953-9817
Mailing Address - Fax:
Practice Address - Street 1:3412 BAILEY RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1120
Practice Address - Country:US
Practice Address - Phone:410-953-9817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health