Provider Demographics
NPI:1215736475
Name:NELSON INNOVATIONS HOME CARE INC
Entity type:Organization
Organization Name:NELSON INNOVATIONS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:IFEANYI
Authorized Official - Last Name:ENUDI
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:682-320-6774
Mailing Address - Street 1:11601 AUDELIA RD APT 132
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5645
Mailing Address - Country:US
Mailing Address - Phone:682-320-6774
Mailing Address - Fax:
Practice Address - Street 1:11601 AUDELIA RD APT 132
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5645
Practice Address - Country:US
Practice Address - Phone:682-320-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty