Provider Demographics
NPI:1083775639
Name:AMERICAN PILGRIMS HEALTH SERVICES LTD. CO
Entity Type:Organization
Organization Name:AMERICAN PILGRIMS HEALTH SERVICES LTD. CO
Other - Org Name:AMERICAN PILGRIMS HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-255-2600
Mailing Address - Street 1:3317 FINLEY RD
Mailing Address - Street 2:STE. 242
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3253
Mailing Address - Country:US
Mailing Address - Phone:972-255-2600
Mailing Address - Fax:972-255-2700
Practice Address - Street 1:3317 FINLEY RD
Practice Address - Street 2:STE. 242
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3253
Practice Address - Country:US
Practice Address - Phone:972-255-2600
Practice Address - Fax:972-255-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009063251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health