Provider Demographics
NPI:1972300853
Name:NABICARE LLC
Entity type:Organization
Organization Name:NABICARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NABIZHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IUSUPOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-560-4059
Mailing Address - Street 1:4941 COLUMBIA CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9761
Mailing Address - Country:US
Mailing Address - Phone:513-560-4059
Mailing Address - Fax:
Practice Address - Street 1:4941 COLUMBIA CIR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45011-9761
Practice Address - Country:US
Practice Address - Phone:513-560-4059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care