Provider Demographics
NPI:1093864894
Name:MONIHEALTH HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:MONIHEALTH HOME CARE SERVICES, INC.
Other - Org Name:TOTAL HOME HEALTH CONROE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O.O
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-465-0212
Mailing Address - Street 1:2253 N LOOP 336 W
Mailing Address - Street 2:SUITE D
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3586
Mailing Address - Country:US
Mailing Address - Phone:936-303-0011
Mailing Address - Fax:936-703-5213
Practice Address - Street 1:2253 N LOOP 336 W
Practice Address - Street 2:SUITE D
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3586
Practice Address - Country:US
Practice Address - Phone:936-303-0011
Practice Address - Fax:936-703-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010095251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679596Medicare Oscar/Certification