Provider Demographics
NPI:1629579503
Name:NATIONWIDE HOME HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:NATIONWIDE HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:OFORI
Authorized Official - Last Name:SOMUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-496-9411
Mailing Address - Street 1:2935 MORALITY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-8830
Mailing Address - Country:US
Mailing Address - Phone:614-496-9411
Mailing Address - Fax:
Practice Address - Street 1:733 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3200
Practice Address - Country:US
Practice Address - Phone:614-496-9411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health