Provider Demographics
NPI:1235279886
Name:NIGHTINGALE HOME CARE INC.
Entity Type:Organization
Organization Name:NIGHTINGALE HOME CARE INC.
Other - Org Name:ALZHEIMERS HOME CARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DORSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-457-6006
Mailing Address - Street 1:3380 TREMONT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2112
Mailing Address - Country:US
Mailing Address - Phone:614-457-6006
Mailing Address - Fax:614-442-2020
Practice Address - Street 1:3380 TREMONT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2112
Practice Address - Country:US
Practice Address - Phone:614-457-6006
Practice Address - Fax:614-442-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367679251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2205554Medicaid
OH2205554Medicaid