Providential Healthcare LLC
Registered Nurse, Home Health in Fairfield, OH. Organization (NPI-2).
NPI number1649136201
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1649136201
- Entity type
- Organization (NPI-2)
- Legal business name
- Providential Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2025
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | – | – | Yes |
Practice location
2840 Mack RdFairfield, OH 45014-5130
Phone 513-365-0882
Mailing address
2840 Mack RdFairfield, OH 45014-5130
Phone 513-365-0882
Authorized official
Eugenia Mary Twumwaa
Administrator/Ceo
5133650882
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