Provider Demographics
NPI:1275702276
Name:ARIEL AMANA HEALTHCARE INC
Entity Type:Organization
Organization Name:ARIEL AMANA HEALTHCARE INC
Other - Org Name:AMANA HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OSASOGIE
Authorized Official - Middle Name:ERHABOR
Authorized Official - Last Name:OHOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-832-8987
Mailing Address - Street 1:8330 LYNDON B JOHNSON FWY STE 835C
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1166
Mailing Address - Country:US
Mailing Address - Phone:469-200-4471
Mailing Address - Fax:469-200-4472
Practice Address - Street 1:8111 LYNDON B JOHNSON FWY STE 1365
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1448
Practice Address - Country:US
Practice Address - Phone:469-200-4471
Practice Address - Fax:469-200-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
747318OtherPTAN
TX747318Medicaid