Provider Demographics
NPI:1346498920
Name:UPLIFT HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:UPLIFT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNGBADERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-759-6400
Mailing Address - Street 1:4480 REFUGEE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4480 REFUGEE RD STE 205
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4475
Practice Address - Country:US
Practice Address - Phone:614-759-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health