Provider Demographics
NPI:1548041320
Name:NIGHTINGALE HEALTHCARE LLC
Entity type:Organization
Organization Name:NIGHTINGALE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:NANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-551-7016
Mailing Address - Street 1:5692 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8536
Mailing Address - Country:US
Mailing Address - Phone:240-551-7016
Mailing Address - Fax:
Practice Address - Street 1:5692 HICKORY DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8536
Practice Address - Country:US
Practice Address - Phone:240-551-7016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty