Provider Demographics
NPI:1215597422
Name:SAMUEL E. AGHAZIEM
Entity Type:Organization
Organization Name:SAMUEL E. AGHAZIEM
Other - Org Name:TOTAL CARE HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:AGHAZIEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-982-1598
Mailing Address - Street 1:228 THE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-6204
Mailing Address - Country:US
Mailing Address - Phone:214-982-1598
Mailing Address - Fax:469-399-6004
Practice Address - Street 1:228 THE FALLS DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-6204
Practice Address - Country:US
Practice Address - Phone:214-982-1598
Practice Address - Fax:469-443-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency