Provider Demographics
NPI:1033654280
Name:NATORI HOME CARE SERVICES
Entity type:Organization
Organization Name:NATORI HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:AGWUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-772-9463
Mailing Address - Street 1:353 N GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3005
Mailing Address - Country:US
Mailing Address - Phone:302-363-5769
Mailing Address - Fax:
Practice Address - Street 1:353 N GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3005
Practice Address - Country:US
Practice Address - Phone:302-363-5769
Practice Address - Fax:410-531-9533
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:2016603303
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-27
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2016603303253Z00000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========OtherFEIN