Provider Demographics
NPI:1023013083
Name:SURE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:SURE HOME HEALTH SERVICES
Other - Org Name:SURE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LINUS
Authorized Official - Middle Name:NKEM
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-1338
Mailing Address - Street 1:8110 SKILLMAN ST
Mailing Address - Street 2:APT 1032
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2808
Mailing Address - Country:US
Mailing Address - Phone:214-221-1338
Mailing Address - Fax:214-221-1360
Practice Address - Street 1:8110 SKILLMAN ST
Practice Address - Street 2:APT 1032
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2808
Practice Address - Country:US
Practice Address - Phone:214-221-1338
Practice Address - Fax:214-221-1360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006402314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility