Nina'S Health Care Fairfield

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4210729 Issued in OH

Legal business name

NINA'S HEALTH CARE FAIRFIELD

Practice address

47 N Market St Ste 208
Logan, OH 43138-1252

Phone

(614) 843-1907

Fax

(614) 861-8842

NPI assigned

Jul 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rodrigue NyumiaNPI 1295606119

Title

Ceo

Phone

(614) 843-1907

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369353

Legal name

NINA'S HEALTH CARE FAIRFIELD

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 25, 2023

Last certification

May 11, 2023

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2018 in OH

Enrollment address

47 N Market St
Ste 208
Logan, OH 43138

Listed as

Nina'S Health Care FairfieldCCN 369353

Ownership

-

Certified

May 25, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodrigue M Nyumia, RN

  • Registered Nurse
  • Granville, OH
  • NPI 1295606119
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1104302496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683589",
            "telephone_number": "614-314-5416",
            "fax_number": "614-861-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N MARKET ST STE 208",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381252",
            "telephone_number": "614-843-1907",
            "fax_number": "614-861-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HEALTH CARE FAIRFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "NYUMIA",
        "authorized_official_first_name": "RODRIGUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-843-1907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "4210729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "4210729",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doan V. Nguyen, MD
• John Nichols
• Elizabeth Marie Nicolia
• Patrick Lloyd Nicolia
• Adrienne Nihiser, FNP
• Nina'S Health Care Logan,Incorporated
• Christina Lynn Nippert
• Regina Lee Nixon
• Patricia Noonan, O.D
• Natasha North, FNP-BC

• Home Health Agency in Logan, OH
• Providers in Logan, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.