Provider Demographics
NPI:1609173087
Name:CHELSEA HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:CHELSEA HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BSN,RN/PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FIDELIS
Authorized Official - Middle Name:NJOK
Authorized Official - Last Name:ELOKOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-278-5906
Mailing Address - Street 1:1908 NEEDMORE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3808
Mailing Address - Country:US
Mailing Address - Phone:937-278-5906
Mailing Address - Fax:937-278-5947
Practice Address - Street 1:1908 NEEDMORE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3808
Practice Address - Country:US
Practice Address - Phone:937-278-5906
Practice Address - Fax:937-278-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-20
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201104000966251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health