Provider Demographics
NPI:1316403017
Name:NURSE MEDICAL HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:NURSE MEDICAL HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAVITHA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:ALIMINETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-333-2200
Mailing Address - Street 1:30 NORTHWOODS BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4716
Mailing Address - Country:US
Mailing Address - Phone:614-333-2200
Mailing Address - Fax:614-964-0000
Practice Address - Street 1:30 NORTHWOODS BLVD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4716
Practice Address - Country:US
Practice Address - Phone:614-333-2200
Practice Address - Fax:614-964-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health