Provider Demographics
NPI:1689498321
Name:CARTER, NA'TASHA (HOME HEALTH)
Entity type:Individual
Prefix:MRS
First Name:NA'TASHA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27382
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-0382
Mailing Address - Country:US
Mailing Address - Phone:380-223-7050
Mailing Address - Fax:
Practice Address - Street 1:3831 CONWAY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3324
Practice Address - Country:US
Practice Address - Phone:380-223-7050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide