Provider Demographics
NPI:1437799889
Name:TX NEWLIFE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:TX NEWLIFE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADUBUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-989-5762
Mailing Address - Street 1:3411 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-3304
Mailing Address - Country:US
Mailing Address - Phone:214-989-5762
Mailing Address - Fax:972-369-7949
Practice Address - Street 1:3411 CEDAR LN
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-3304
Practice Address - Country:US
Practice Address - Phone:214-989-5762
Practice Address - Fax:972-369-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX415443701Medicaid
TX415443702Medicaid