Provider Demographics
NPI:1891370037
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:
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-270-9882
Mailing Address - Street 1:70260 CORPORATE WAY. SUITE#208
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45305
Mailing Address - Country:US
Mailing Address - Phone:937-270-9882
Mailing Address - Fax:937-610-5970
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:937-270-9882
Practice Address - Fax:937-736-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0162623Medicaid