Provider Demographics
NPI:1013188325
Name:HONORCARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HONORCARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NWABUISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-524-9889
Mailing Address - Street 1:7551 CALLAGHAN RD STE 102A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2861
Mailing Address - Country:US
Mailing Address - Phone:210-524-9889
Mailing Address - Fax:210-524-0099
Practice Address - Street 1:7551 CALLAGHAN RD STE 102A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2861
Practice Address - Country:US
Practice Address - Phone:210-524-9889
Practice Address - Fax:210-524-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011284251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457910OtherMEDICARE PROVIDER NUMBER