Provider Demographics
NPI:1831469527
Name:AMERICARE PASSPORT SENIOR OPTIONS INC
Entity type:Organization
Organization Name:AMERICARE PASSPORT SENIOR OPTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-273-0086
Mailing Address - Street 1:1279 E DUBLIN GRANVILLE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3300
Mailing Address - Country:US
Mailing Address - Phone:614-273-0086
Mailing Address - Fax:614-273-0158
Practice Address - Street 1:1279 E DUBLIN GRANVILLE RD FL 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3300
Practice Address - Country:US
Practice Address - Phone:614-273-0086
Practice Address - Fax:614-273-0158
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICARE HEALTHCARE SERIVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2044150251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health