Provider Demographics
NPI:1376293720
Name:SAFE TOWER HOME CARE LLC
Entity Type:Organization
Organization Name:SAFE TOWER HOME CARE LLC
Other - Org Name:SAFE TOWER HOME CARE LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASIMOWU
Authorized Official - Middle Name:AJOKE
Authorized Official - Last Name:GIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-861-8435
Mailing Address - Street 1:880 S COIT RD APT 2007
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3015
Mailing Address - Country:US
Mailing Address - Phone:703-861-8435
Mailing Address - Fax:
Practice Address - Street 1:880 S COIT RD APT 2007
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-3015
Practice Address - Country:US
Practice Address - Phone:703-861-8435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care