Provider Demographics
NPI:1407133028
Name:CHIDIKE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CHIDIKE HOME HEALTH CARE, LLC
Other - Org Name:HOME HELPERS AND DIRECT LINK 58569
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMALACHUKWU
Authorized Official - Middle Name:RUBY
Authorized Official - Last Name:EKE-OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:BA, BSN, RN
Authorized Official - Phone:856-285-5857
Mailing Address - Street 1:3 MEADE CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4424
Mailing Address - Country:US
Mailing Address - Phone:856-285-5857
Mailing Address - Fax:
Practice Address - Street 1:3 MEADE CT
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4424
Practice Address - Country:US
Practice Address - Phone:856-285-5857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0157600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health