Healthcare Provider Details

I. General information

NPI: 1902332992
Provider Name (Legal Business Name): NJINGA HOME HEALTH SYSTEM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 QUINBY DR
COLUMBUS OH
43232-7733
US

IV. Provider business mailing address

3100 QUINBY DR
COLUMBUS OH
43232-7733
US

V. Phone/Fax

Practice location:
  • Phone: 614-772-5758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS N YOHMBA
Title or Position: C.E.O
Credential:
Phone: 614-772-5758