Provider Demographics
NPI:1720197718
Name:HEALTH MANAGEMENT NURSING SERVICES, INC
Entity Type:Organization
Organization Name:HEALTH MANAGEMENT NURSING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:740-377-9095
Mailing Address - Street 1:501 WASHINGTON ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-9606
Mailing Address - Country:US
Mailing Address - Phone:740-377-9095
Mailing Address - Fax:740-377-9593
Practice Address - Street 1:501 WASHINGTON ST
Practice Address - Street 2:SUITE 13
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-9604
Practice Address - Country:US
Practice Address - Phone:740-377-9095
Practice Address - Fax:740-377-9593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D0890904251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36D0890904Medicaid
OH367591AAMedicare ID - Type Unspecified
OH367591Medicare Oscar/Certification