Provider Demographics
NPI:1093732893
Name:MEGACARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:MEGACARE HOME HEALTH SERVICES INC
Other - Org Name:MEGACARE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOYE-DIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-C
Authorized Official - Phone:713-995-0675
Mailing Address - Street 1:4606 FARM TO MARKET 1960 RD W
Mailing Address - Street 2:SUITE 575
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4600
Mailing Address - Country:US
Mailing Address - Phone:713-995-0675
Mailing Address - Fax:713-995-0445
Practice Address - Street 1:4606 FARM TO MARKET 1960 RD W
Practice Address - Street 2:SUITE 575
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4600
Practice Address - Country:US
Practice Address - Phone:713-995-0675
Practice Address - Fax:713-995-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013285251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020789Medicaid
TX001020789Medicaid