Provider Demographics
NPI:1871889121
Name:NURSEMED HOMECARE SERVICES INC.
Entity type:Organization
Organization Name:NURSEMED HOMECARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-801-1300
Mailing Address - Street 1:3615 KAILEY CT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8209
Mailing Address - Country:US
Mailing Address - Phone:614-801-1300
Mailing Address - Fax:800-507-9350
Practice Address - Street 1:3457 BROADWAY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1939
Practice Address - Country:US
Practice Address - Phone:614-801-1300
Practice Address - Fax:800-507-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health