Provider Demographics
NPI:1871343061
Name:OSEM HOME HEALTH CARE
Entity type:Organization
Organization Name:OSEM HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI- MIREKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-281-9751
Mailing Address - Street 1:1500 MAIN STREET SUITE 800
Mailing Address - Street 2:
Mailing Address - City:SPRINFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01115
Mailing Address - Country:US
Mailing Address - Phone:860-281-9751
Mailing Address - Fax:
Practice Address - Street 1:1500 MAIN STREET SUITE 800
Practice Address - Street 2:
Practice Address - City:SPRINFIELD
Practice Address - State:MA
Practice Address - Zip Code:01115
Practice Address - Country:US
Practice Address - Phone:860-281-9751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide