Provider Demographics
NPI:1831063619
Name:EMMANUEL-GRACE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:EMMANUEL-GRACE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:WANJIKU
Authorized Official - Last Name:WARUIRU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-218-3653
Mailing Address - Street 1:3174 JETSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-8802
Mailing Address - Country:US
Mailing Address - Phone:614-218-3653
Mailing Address - Fax:
Practice Address - Street 1:3174 JETSTREAM DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-8802
Practice Address - Country:US
Practice Address - Phone:614-218-3653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty