Provider Demographics
NPI:1629470299
Name:NURSECARE HOME HEALTH INC
Entity Type:Organization
Organization Name:NURSECARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAYEMISI
Authorized Official - Middle Name:L
Authorized Official - Last Name:JINADU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-725-2683
Mailing Address - Street 1:21000 DEVONSHIRE STREET
Mailing Address - Street 2:SUITE 102C
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-8202
Mailing Address - Country:US
Mailing Address - Phone:818-725-2683
Mailing Address - Fax:
Practice Address - Street 1:21000 DEVONSHIRE STREET
Practice Address - Street 2:SUITE 102C
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-8202
Practice Address - Country:US
Practice Address - Phone:818-725-2683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health