Provider Demographics
NPI:1497363170
Name:CENARS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:CENARS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAGAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-451-8760
Mailing Address - Street 1:4508 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0259
Mailing Address - Country:US
Mailing Address - Phone:214-451-8760
Mailing Address - Fax:
Practice Address - Street 1:4508 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0259
Practice Address - Country:US
Practice Address - Phone:214-451-8760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty