Provider Demographics
NPI:1073874590
Name:OWIN EXPRESS HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:OWIN EXPRESS HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:UHUNOMA
Authorized Official - Middle Name:SUNNY
Authorized Official - Last Name:EWERE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:908-265-0164
Mailing Address - Street 1:276, WILDFLOWER LANE
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844
Mailing Address - Country:US
Mailing Address - Phone:973-333-8402
Mailing Address - Fax:973-653-3539
Practice Address - Street 1:276 WILDFLOWER LN
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4873
Practice Address - Country:US
Practice Address - Phone:973-333-8402
Practice Address - Fax:973-653-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0147500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health