Provider Demographics
NPI:1174867931
Name:NIGHTINGALE HOME HEALTH INC
Entity Type:Organization
Organization Name:NIGHTINGALE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:LUDOVICK
Authorized Official - Last Name:SHIRIMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-305-5731
Mailing Address - Street 1:788 CROMWELL CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4445
Mailing Address - Country:US
Mailing Address - Phone:301-305-5731
Mailing Address - Fax:301-698-8789
Practice Address - Street 1:788 CROMWELL CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4445
Practice Address - Country:US
Practice Address - Phone:301-698-8789
Practice Address - Fax:301-698-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3321251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care