Provider Demographics
NPI:1043763725
Name:HOME HEALTH PLUS
Entity Type:Organization
Organization Name:HOME HEALTH PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIBROM
Authorized Official - Middle Name:
Authorized Official - Last Name:BELAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-454-5466
Mailing Address - Street 1:424 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5540
Mailing Address - Country:US
Mailing Address - Phone:847-454-5466
Mailing Address - Fax:
Practice Address - Street 1:2643 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-3112
Practice Address - Country:US
Practice Address - Phone:847-454-5466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health