Provider Demographics
NPI:1578003950
Name:NO LIMIT HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:NO LIMIT HOME HEALTH CARE SERVICES
Other - Org Name:NO LIMIT HOME HEALTH CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:L
Authorized Official - Last Name:NSILULU
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LPC,LICDC-S
Authorized Official - Phone:937-286-3886
Mailing Address - Street 1:125 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-1143
Mailing Address - Country:US
Mailing Address - Phone:937-286-3886
Mailing Address - Fax:
Practice Address - Street 1:125 SCOTT DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-1143
Practice Address - Country:US
Practice Address - Phone:937-286-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2229161251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0198168Medicaid