Provider Demographics
NPI:1497086904
Name:MACROPLUS HEALTHCARE LLC
Entity Type:Organization
Organization Name:MACROPLUS HEALTHCARE LLC
Other - Org Name:MACROPLUS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:ABIDEMI
Authorized Official - Last Name:OLANREWAJU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-899-1631
Mailing Address - Street 1:2901 MAYFIELD RD
Mailing Address - Street 2:APT 6104
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7567
Mailing Address - Country:US
Mailing Address - Phone:817-899-1631
Mailing Address - Fax:
Practice Address - Street 1:2901 MAYFIELD ROAD
Practice Address - Street 2:6104
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052
Practice Address - Country:US
Practice Address - Phone:817-899-1631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734757251B00000X, 251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion