Provider Demographics
NPI:1912272006
Name:NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WADE-HAIRSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-557-1145
Mailing Address - Street 1:4754 SCARLET ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-1452
Mailing Address - Country:US
Mailing Address - Phone:614-557-1145
Mailing Address - Fax:
Practice Address - Street 1:4754 SCARLET ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1452
Practice Address - Country:US
Practice Address - Phone:614-557-1145
Practice Address - Fax:614-283-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2710472Medicaid
OH1174816391OtherNPI I