Provider Demographics
NPI:1033154539
Name:HIGHLANDS HOME HEALTH INCORPORATED
Entity Type:Organization
Organization Name:HIGHLANDS HOME HEALTH INCORPORATED
Other - Org Name:REGENCY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NKECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:UKOMADU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-271-1551
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-271-1551
Mailing Address - Fax:713-270-0667
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 245
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-271-1551
Practice Address - Fax:713-270-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679346251E00000X
TX0065281332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0065281Medicare ID - Type UnspecifiedMEDICAL DEVICE DISTRIBUTO
TX679346Medicare ID - Type UnspecifiedPROVIDER NUMBER