Provider Demographics
NPI:1033134986
Name:FAVORITE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:FAVORITE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:UZOAMAKA
Authorized Official - Last Name:ISIOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-335-0410
Mailing Address - Street 1:9555 LEBANON RD
Mailing Address - Street 2:SUITE 504
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6095
Mailing Address - Country:US
Mailing Address - Phone:972-335-0410
Mailing Address - Fax:
Practice Address - Street 1:9555 LEBANON RD
Practice Address - Street 2:SUITE 504
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6095
Practice Address - Country:US
Practice Address - Phone:972-335-0410
Practice Address - Fax:972-335-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679487Medicare ID - Type Unspecified