Provider Demographics
NPI:1083278584
Name:ADNA HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ADNA HOME HEALTHCARE SERVICES
Other - Org Name:ADNA HOME HEALTHCARE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OYENMWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IYAMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-576-3221
Mailing Address - Street 1:10615 MEADOWGLEN LN APT 1510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4016
Mailing Address - Country:US
Mailing Address - Phone:512-576-3221
Mailing Address - Fax:
Practice Address - Street 1:10615 MEADOWGLEN LN APT 1510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4016
Practice Address - Country:US
Practice Address - Phone:512-576-3221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health