Provider Demographics
NPI:1093125205
Name:NULIF HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:NULIF HOME HEALTHCARE SERVICES INC
Other - Org Name:NULIF HOME HEALTHCARE SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKUNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-780-5764
Mailing Address - Street 1:7111 MARVIN D LOVE FWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3106
Mailing Address - Country:US
Mailing Address - Phone:972-780-5764
Mailing Address - Fax:972-780-5763
Practice Address - Street 1:7111 MARVIN D LOVE FWY
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3106
Practice Address - Country:US
Practice Address - Phone:972-780-5764
Practice Address - Fax:972-780-5763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015849251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457973OtherMEDICARE NUMBER