Provider Demographics
NPI:1275591778
Name:ORIENT HOME CARE SERVICES INC.
Entity Type:Organization
Organization Name:ORIENT HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:ETHELBERT
Authorized Official - Middle Name:ONUEFI
Authorized Official - Last Name:ODO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-296-2000
Mailing Address - Street 1:606 ORIOLE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3500
Mailing Address - Country:US
Mailing Address - Phone:972-296-2000
Mailing Address - Fax:972-296-2001
Practice Address - Street 1:606 ORIOLE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3500
Practice Address - Country:US
Practice Address - Phone:972-296-2000
Practice Address - Fax:972-296-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010776251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275591778Medicaid
457934Medicare Oscar/Certification