Provider Demographics
NPI:1174816391
Name:NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WADE-HAIRSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-557-1145
Mailing Address - Street 1:4401 OAKS SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-5038
Mailing Address - Country:US
Mailing Address - Phone:614-557-1145
Mailing Address - Fax:
Practice Address - Street 1:4401 OAKS SHADOW DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-5038
Practice Address - Country:US
Practice Address - Phone:614-557-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2710472Medicaid