Provider Demographics
NPI:1417182536
Name:GREENSPRINGS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GREENSPRINGS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MIR
Authorized Official - Middle Name:MUNAWWER
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-746-4445
Mailing Address - Street 1:633 N SPRINGBORO PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3667
Mailing Address - Country:US
Mailing Address - Phone:937-746-4445
Mailing Address - Fax:937-746-5444
Practice Address - Street 1:633 N SPRINGBORO PIKE STE B
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3667
Practice Address - Country:US
Practice Address - Phone:937-746-4445
Practice Address - Fax:937-746-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1844661251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health