Provider Demographics
NPI:1851813638
Name:SPRING HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SPRING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:NJERI
Authorized Official - Last Name:NGANGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-843-6002
Mailing Address - Street 1:104 N HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2602
Mailing Address - Country:US
Mailing Address - Phone:614-776-4242
Mailing Address - Fax:614-776-4405
Practice Address - Street 1:104 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2602
Practice Address - Country:US
Practice Address - Phone:614-776-4242
Practice Address - Fax:614-776-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4007134251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0324641Medicaid