Healthcare Provider Details
I. General information
NPI: 1699889808
Provider Name (Legal Business Name): NATIONWIDE HOME HEALTHCARE, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2006
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
610 TAYLOR STATION RD STE B
GAHANNA OH
43230-3586
US
IV. Provider business mailing address
4418 SUMMIT VIEW RD
DUBLIN OH
43016-8425
US
V. Phone/Fax
- Phone: 614-322-2242
- Fax: 614-322-2241
- Phone: 614-327-7630
- Fax: 614-322-2241
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
VILAYPHONE
THAWNGHMUNG
Title or Position: CEO
Credential:
Phone: 614-322-2242