Provider Demographics
NPI:1235911546
Name:NINA'S HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:NINA'S HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONGOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-314-5416
Mailing Address - Street 1:6455 E LIVINGSTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3589
Mailing Address - Country:US
Mailing Address - Phone:614-314-5416
Mailing Address - Fax:614-861-8840
Practice Address - Street 1:6455 E LIVINGSTON AVE STE A
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3589
Practice Address - Country:US
Practice Address - Phone:614-314-5416
Practice Address - Fax:614-861-8840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NINA'S HOMEHEALTH CARE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health