Healthcare Provider Details

I. General information

NPI: 1831755172
Provider Name (Legal Business Name): NATIONWIDE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 LEXINGTON AVE
MANSFIELD OH
44907-1996
US

IV. Provider business mailing address

860 LEXINGTON AVE
MANSFIELD OH
44907-1996
US

V. Phone/Fax

Practice location:
  • Phone: 419-775-4823
  • Fax:
Mailing address:
  • Phone: 419-775-4823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: OMAR QALINLE
Title or Position: OWNER
Credential:
Phone: 614-441-8851