Nina'S Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2193959 Issued in OH

Legal business name

NINA'S HOME HEALTH CARE INC

Practice address

6455 E Livingston Ave Ste a
Reynoldsburg, OH 43068-3589

Phone

(614) 314-5416

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Stanley D Fongod, BISHOP

Title

Vice Chair

Phone

(805) 539-3377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369265

Legal name

NINA'S HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 10, 2021

Last certification

Apr 10, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 14, 2019 in OH

Enrollment address

6455 E Livingston Ave
Ste D
Reynoldsburg, OH 43068-3589
HHA Branch

Listed as

Nina'S Home Health Care IncCCN 369265

Ownership

Proprietary

Certified

Apr 10, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

• Grace Ekukole-Sone

  • Registered Nurse
  • Reynoldsburg, OH
  • NPI 1306000500
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1447695812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 E LIVINGSTON AVE STE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683589",
            "telephone_number": "614-314-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 E LIVINGSTON AVE STE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683589",
            "telephone_number": "614-314-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "FONGOD",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE CHAIR",
        "authorized_official_telephone_number": "805-539-3377",
        "authorized_official_credential": "BISHOP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2193959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Newman
• Antoinnette B Ngueudjio
• Nina'S Health Care Services
• Nina'S Health Care Services
• Nina'S Home Health Care Inc
• Nine19 Residential Care LLC
• Rehema Niyonkuru
• Nubia Njieko
• Sally Emanga Njume-Tatsing, RN
• Kwadwo Bosomprah Nkansa

• 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 Aug 13, 2021; 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.