Provider Demographics
NPI:1063016574
Name:EFFORDABLE HOME HEALTHCARE
Entity Type:Organization
Organization Name:EFFORDABLE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-709-8215
Mailing Address - Street 1:15330 LYNDON B JOHNSON FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1200
Mailing Address - Country:US
Mailing Address - Phone:469-709-8215
Mailing Address - Fax:469-802-8216
Practice Address - Street 1:15330 LYNDON B JOHNSON FWY STE 101
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1200
Practice Address - Country:US
Practice Address - Phone:469-709-8215
Practice Address - Fax:469-802-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health