Provider Demographics
NPI:1891557963
Name:NIGHTINGALE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:NIGHTINGALE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYODELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-687-6405
Mailing Address - Street 1:574 IRVINE LOOP
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7699
Mailing Address - Country:US
Mailing Address - Phone:614-687-6405
Mailing Address - Fax:
Practice Address - Street 1:574 IRVINE LOOP
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7699
Practice Address - Country:US
Practice Address - Phone:614-309-2484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)