Healthcare Provider Details

I. General information

NPI: 1235720400
Provider Name (Legal Business Name): NEW ALBANY HOME HEALTH SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 10/09/2022
Certification Date: 10/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8072 NEW ALBANY CONDIT RD
WESTERVILLE OH
43081-9535
US

IV. Provider business mailing address

8072 NEW ALBANY CONDIT RD
WESTERVILLE OH
43081-9535
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TINA WADE-HAIRSTON
Title or Position: CEO
Credential:
Phone: 614-557-1145