Organization Active NPI

Nina'S Health Care Logan,Incorporated

  • Home Health Agency
  • Logan, OH
National Provider Identifier
1538788674
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NINA'S HEALTH CARE LOGAN,INCORPORATED
Practice address
47 N Market St Ste 1
Logan, OH 43138-1252
Phone
(614) 314-5416
Fax
(614) 861-8842
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Grace K Fongod, RN
Title
President
Phone
(614) 314-5416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

47 N Market St Ste 1
Logan, OH 43138-1252

Mailing address

6455 E Livingston Ave Ste a
Reynoldsburg, OH 43068-3589
Phone (614) 314-5416

National Provider Directory

National Provider Directory

Locations

47 N Market St
Ste 1
Logan, OH 43138

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1538788674",
    "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": "47 N MARKET ST STE 1",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381252",
            "telephone_number": "614-314-5416",
            "fax_number": "614-861-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HEALTH CARE LOGAN,INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "FONGOD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-314-5416",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.