Organization · Type 2 NPI
Providential Healthcare LLC
Home Health Registered Nurse · Fairfield, OH
NPI number
1649136201
Active
Practice location
2840 Mack Rd
Fairfield, OH 45014-5130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | None listed |
Home Health Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1649136201
Providential Healthcare LLC's National Provider Identifier is 1649136201, issued on Dec 29, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Fairfield, OH. The record was last updated on Dec 29, 2025.