Healthcare Provider Details

I. General information

NPI: 1891503496
Provider Name (Legal Business Name): NEW GENERATION HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 12/28/2024
Certification Date: 12/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 S HAMILTON RD STE 105
COLUMBUS OH
43232-4382
US

IV. Provider business mailing address

2238 S HAMILTON RD STE 105
COLUMBUS OH
43232-4382
US

V. Phone/Fax

Practice location:
  • Phone: 614-260-2965
  • Fax:
Mailing address:
  • Phone: 614-260-2965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DANIEL AHYIA ODURO
Title or Position: ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 614-260-2965