Provider Demographics
NPI:1730642133
Name:GREENVILLE NURSING SERVICES,INC
Entity Type:Organization
Organization Name:GREENVILLE NURSING SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:ANSABAH
Authorized Official - Last Name:MENSAH-OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-736-2272
Mailing Address - Street 1:1142 N MONROE DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-1620
Mailing Address - Country:US
Mailing Address - Phone:937-736-2272
Mailing Address - Fax:937-764-8013
Practice Address - Street 1:1142 N MONROE DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1620
Practice Address - Country:US
Practice Address - Phone:937-736-2272
Practice Address - Fax:937-736-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH475646483Medicaid