Provider Demographics
NPI:1104000355
Name:MENAS HOME HEALTHCARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:MENAS HOME HEALTHCARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:EKWUIFE
Authorized Official - Last Name:ODIARI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-247-6641
Mailing Address - Street 1:2727 LBJ FWY. SUITE 214
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7334
Mailing Address - Country:US
Mailing Address - Phone:972-247-6641
Mailing Address - Fax:
Practice Address - Street 1:2727 LBJ FWY. SUITE 214
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7334
Practice Address - Country:US
Practice Address - Phone:972-247-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010056251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677878Medicare UPIN