Provider Demographics
NPI:1841535390
Name:NURSES VILLA HEALTHCARE LLC
Entity type:Organization
Organization Name:NURSES VILLA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-339-9779
Mailing Address - Street 1:6000 CLEVELAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2230
Mailing Address - Country:US
Mailing Address - Phone:614-339-9779
Mailing Address - Fax:
Practice Address - Street 1:6000 CLEVELAND AVE STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2230
Practice Address - Country:US
Practice Address - Phone:614-339-9779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2152005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health