Provider Demographics
NPI:1942734843
Name:NATORI HOMECARE SERVICES
Entity Type:Organization
Organization Name:NATORI HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:AGWUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MDFAAP
Authorized Official - Phone:443-956-1239
Mailing Address - Street 1:353 N GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3005
Mailing Address - Country:US
Mailing Address - Phone:302-363-5769
Mailing Address - Fax:
Practice Address - Street 1:353 N GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3005
Practice Address - Country:US
Practice Address - Phone:302-363-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE12320866OtherFEIN