Provider Demographics
NPI:1154572576
Name:RUSSENDIPITY LTD
Entity type:Organization
Organization Name:RUSSENDIPITY LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-442-1000
Mailing Address - Street 1:2000 W HENDERSON RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2453
Mailing Address - Country:US
Mailing Address - Phone:614-442-1000
Mailing Address - Fax:614-442-1002
Practice Address - Street 1:2000 W HENDERSON RD
Practice Address - Street 2:SUITE 330
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2453
Practice Address - Country:US
Practice Address - Phone:614-442-1000
Practice Address - Fax:614-442-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care