Healthcare Provider Details

I. General information

NPI: 1912272006
Provider Name (Legal Business Name): NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4754 SCARLET ST
COLUMBUS OH
43227-1452
US

IV. Provider business mailing address

4754 SCARLET ST
COLUMBUS OH
43227-1452
US

V. Phone/Fax

Practice location:
  • Phone: 614-557-1145
  • Fax: 614-283-5084
Mailing address:
  • Phone: 614-557-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. TINA ANN WADE-HAIRSTON
Title or Position: CEO
Credential: PHD
Phone: 614-557-1145