Provider Demographics
NPI:1033343876
Name:CEPF HOME HEALHT AGENCY INC
Entity Type:Organization
Organization Name:CEPF HOME HEALHT AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVANS
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOYE
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:214-607-8338
Mailing Address - Street 1:14827 SNOWSHILL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7237
Mailing Address - Country:US
Mailing Address - Phone:469-579-4866
Mailing Address - Fax:469-579-4866
Practice Address - Street 1:14827 SNOWSHILL DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7237
Practice Address - Country:US
Practice Address - Phone:469-579-4866
Practice Address - Fax:469-579-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization