Provider Demographics
NPI:1083893200
Name:NIGHTINGGALE HOME HEALTH
Entity Type:Organization
Organization Name:NIGHTINGGALE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:574-249-1586
Mailing Address - Street 1:12 N MAIN ST
Mailing Address - Street 2:P.O. BOX 92
Mailing Address - City:KNOX
Mailing Address - State:IN
Mailing Address - Zip Code:46534-1125
Mailing Address - Country:US
Mailing Address - Phone:574-249-1586
Mailing Address - Fax:
Practice Address - Street 1:12 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KNOX
Practice Address - State:IN
Practice Address - Zip Code:46534-1125
Practice Address - Country:US
Practice Address - Phone:574-249-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health