Provider Demographics
NPI:1992873285
Name:EMPIRE HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:EMPIRE HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NWANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BA, RN
Authorized Official - Phone:513-348-4009
Mailing Address - Street 1:260 NORTHLAND BLVD
Mailing Address - Street 2:SUITE 310A
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4917
Mailing Address - Country:US
Mailing Address - Phone:513-348-4009
Mailing Address - Fax:
Practice Address - Street 1:260 NORTHLAND BLVD
Practice Address - Street 2:SUITE 310A
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-4917
Practice Address - Country:US
Practice Address - Phone:513-348-4009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1552504251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health