Provider Demographics
NPI:1518564491
Name:NAMI HOME CARE COMPANY
Entity Type:Organization
Organization Name:NAMI HOME CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OVIAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-810-8125
Mailing Address - Street 1:5533 SOUTHWYCK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1505
Mailing Address - Country:US
Mailing Address - Phone:419-885-2102
Mailing Address - Fax:
Practice Address - Street 1:5533 SOUTHWYCK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1505
Practice Address - Country:US
Practice Address - Phone:419-885-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health