Provider Demographics
NPI:1326066242
Name:JOANA HOME HEALTH CONCEPT INC
Entity Type:Organization
Organization Name:JOANA HOME HEALTH CONCEPT INC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:NONYEM
Authorized Official - Last Name:OFORLEA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:832-881-6829
Mailing Address - Street 1:14607 WYNBOURN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4700
Mailing Address - Country:US
Mailing Address - Phone:832-881-6829
Mailing Address - Fax:281-495-1054
Practice Address - Street 1:14607 WYNBOURN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4700
Practice Address - Country:US
Practice Address - Phone:832-881-6829
Practice Address - Fax:281-495-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011334251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747126Medicare Oscar/Certification