Nina's Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NINA'S HEALTH CARE SERVICES

Doing business as

Nina's Health Care Services

Practice address

6455 E Livingston Ave
Reynoldsburg, OH 43068-3589

Phone

(614) 861-8840

Fax

(614) 861-8842

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Grace K Fongod, RN

Title

RN Owner

Phone

(614) 314-5416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NINA'S HEALTH CARE SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368302

Legal name

NINA'S HEALTH CARE SERVICES

Doing business as

NINA'S HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 29, 2010

Last certification

Mar 12, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 5, 2009 in OH

Enrollment address

6455 E Livingston Ave
Reynoldsburg, OH 43068

Listed as

Nina's Health Care Services, LLCCCN 368302 · All quality measures

Ownership

Proprietary

Certified

Mar 29, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Nina's Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nina's Health Care Services

  • Home Health Agency
  • Reynoldsburg, OH
  • NPI 1538872072
  NPD tax ID

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.

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1245563923",
    "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": "43068",
            "telephone_number": "614-861-8840",
            "fax_number": "614-861-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683589",
            "telephone_number": "614-861-8840",
            "fax_number": "614-861-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FONGOD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RN OWNER",
        "authorized_official_telephone_number": "614-314-5416",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NINA'S HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehema Niyonkuru

• Home Health Agency in Reynoldsburg, OH
• Providers in Reynoldsburg, 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 3, 2014; 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.