Healthcare Provider Details

I. General information

NPI: 1457782351
Provider Name (Legal Business Name): NEW GENERATION HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 12/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1887 CRESWELL DR
CINCINNATI OH
45240-1536
US

IV. Provider business mailing address

1887 CRESWELL DR
CINCINNATI OH
45240-1536
US

V. Phone/Fax

Practice location:
  • Phone: 614-260-5140
  • Fax:
Mailing address:
  • Phone: 614-260-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1871769
License Number StateOH

VIII. Authorized Official

Name: MRS. GEORGINA OSAE
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 614-260-5140