HOLYHILLS HEALTHCARE SERVICES LLC NPI 1407395692

NPI Information

NPI: 1407395692
Provider Name: HOLYHILLS HEALTHCARE SERVICES LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 36D2136137

Address:
6760 TUSSING RD
#104
REYNOLDSBURG, OH
ZIP 43068
Phone: (614) 441-2231
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HOLYHILLS HEALTHCARE SERVICES LLC is an adult health nurse practitioner in Reynoldsburg, OH. HOLYHILLS HEALTHCARE SERVICES LLC NPI is 1407395692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6760 TUSSING RD
#104
REYNOLDSBURG, OH
ZIP 43068-129
Phone: (614) 441-2231

The provider's authorized official is Nana Akua Dwomo .
The authorized official title is C.e.o and has the following contact phone number (614) 441-2231.

The CLIA number assigned to this NPI record is 36D2136137 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	1457502502	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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