Provider Demographics
NPI:1821562059
Name:NINA'S HEALTH CARE NEW LEX,INC
Entity Type:Organization
Organization Name:NINA'S HEALTH CARE NEW LEX,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONGOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-314-5416
Mailing Address - Street 1:6455 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3589
Mailing Address - Country:US
Mailing Address - Phone:614-314-5416
Mailing Address - Fax:
Practice Address - Street 1:445 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1097
Practice Address - Country:US
Practice Address - Phone:740-343-4153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health