Provider Demographics
NPI:1477232163
Name:NELA HEALTH AGENCY
Entity type:Organization
Organization Name:NELA HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMAH
Authorized Official - Middle Name:GBOGBOR
Authorized Official - Last Name:FAIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-754-0656
Mailing Address - Street 1:3526 30TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6239
Mailing Address - Country:US
Mailing Address - Phone:503-754-0656
Mailing Address - Fax:
Practice Address - Street 1:3526 30TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6239
Practice Address - Country:US
Practice Address - Phone:503-754-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care