Provider Demographics
NPI:1679388326
Name:NAMSU SERVICE CARE LLC
Entity type:Organization
Organization Name:NAMSU SERVICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GOPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:283-212-1423
Mailing Address - Street 1:6809 PARKLAKE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8809
Mailing Address - Country:US
Mailing Address - Phone:513-499-3077
Mailing Address - Fax:513-499-3088
Practice Address - Street 1:3174 MACK RD STE 6
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5369
Practice Address - Country:US
Practice Address - Phone:513-499-3070
Practice Address - Fax:513-499-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health