Provider Demographics
NPI:1972325629
Name:CENTRAL OHIO NURSING SERVICES
Entity type:Organization
Organization Name:CENTRAL OHIO NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:KEANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHIPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-632-9789
Mailing Address - Street 1:116 GRANVILLE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3044
Mailing Address - Country:US
Mailing Address - Phone:614-632-9789
Mailing Address - Fax:
Practice Address - Street 1:116 GRANVILLE ST STE 104
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3044
Practice Address - Country:US
Practice Address - Phone:614-632-9789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health