Provider Demographics
NPI:1932845740
Name:AWSHENG HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:AWSHENG HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:NUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-787-5551
Mailing Address - Street 1:4140 APPIAN WAY CT APT A
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5413
Mailing Address - Country:US
Mailing Address - Phone:614-522-9991
Mailing Address - Fax:877-757-1929
Practice Address - Street 1:4140 APPIAN WAY CT APT A
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-5413
Practice Address - Country:US
Practice Address - Phone:614-522-9991
Practice Address - Fax:877-757-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0013841Medicaid