Provider Demographics
NPI:1699043042
Name:NORDSTAR HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:NORDSTAR HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:N
Authorized Official - Last Name:NKEMNKENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-370-2208
Mailing Address - Street 1:3040 EAST MAIN STREET, LOWER LEVEL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2644
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3040 EAST MAIN STREET LOWER LEVEL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2644
Practice Address - Country:US
Practice Address - Phone:614-725-0337
Practice Address - Fax:614-725-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health