Provider Demographics
NPI:1487043295
Name:REMSY PEDIATRIC HOME HEALTH, LLC
Entity Type:Organization
Organization Name:REMSY PEDIATRIC HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REMILEKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLATUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-801-8324
Mailing Address - Street 1:10945 ESTATE LN
Mailing Address - Street 2:STE E105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2317
Mailing Address - Country:US
Mailing Address - Phone:214-791-3600
Mailing Address - Fax:855-299-8362
Practice Address - Street 1:10945 ESTATE LN
Practice Address - Street 2:STE E105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2317
Practice Address - Country:US
Practice Address - Phone:214-791-3600
Practice Address - Fax:855-299-8362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health