| Organization Name: | NATIONWIDE CHILDRENS HOSPITAL HOMECARE |
| NPI Number: | 1033383252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WANDA STACKPOLE (VICE PRESIDENT) |
| Mailing Address: | 255 E Main St Columbus |
| State: | OH US |
| Postal Code: | 432155222 |
| Phone Number: | 6143551100 |
| Fax Number: | 6143551182 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0097-HSP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |