Provider Demographics
NPI:1457018400
Name:DELICATE HANDS HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:DELICATE HANDS HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUMODU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-378-3154
Mailing Address - Street 1:902 VISOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3324
Mailing Address - Country:US
Mailing Address - Phone:210-378-3154
Mailing Address - Fax:
Practice Address - Street 1:902 VISOR DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3324
Practice Address - Country:US
Practice Address - Phone:210-378-3154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty