Provider Demographics
NPI:1083453039
Name:HOLY SPIRIT HOMEHEALTH SERVICES
Entity type:Organization
Organization Name:HOLY SPIRIT HOMEHEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-782-9099
Mailing Address - Street 1:3601 KIRKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3212
Mailing Address - Country:US
Mailing Address - Phone:631-782-9099
Mailing Address - Fax:
Practice Address - Street 1:3601 KIRKWOOD RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3212
Practice Address - Country:US
Practice Address - Phone:631-782-9099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health