Provider Demographics
NPI:1376158956
Name:PRINA HEALTH CARE LLC
Entity Type:Organization
Organization Name:PRINA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-368-2022
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 545
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4094
Mailing Address - Country:US
Mailing Address - Phone:614-368-2022
Mailing Address - Fax:614-368-2033
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 545
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4094
Practice Address - Country:US
Practice Address - Phone:614-368-2022
Practice Address - Fax:614-368-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2506498OtherOHIO DEPARTMENT OF AGING
OH0372712Medicaid
OH2305469OtherOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES