Provider Demographics
NPI:1225602774
Name:HOMECARE EMBASSY LLC
Entity Type:Organization
Organization Name:HOMECARE EMBASSY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEGBILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-977-8364
Mailing Address - Street 1:7394 E CROSS RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6077
Mailing Address - Country:US
Mailing Address - Phone:520-977-8364
Mailing Address - Fax:
Practice Address - Street 1:7394 E CROSS RIDGE PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6077
Practice Address - Country:US
Practice Address - Phone:520-977-8364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care