Provider Demographics
NPI:1518383215
Name:PRIMEROSE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PRIMEROSE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADEGOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-978-6876
Mailing Address - Street 1:13231 ELDRIDGE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-1736
Mailing Address - Country:US
Mailing Address - Phone:713-896-3058
Mailing Address - Fax:713-896-3093
Practice Address - Street 1:13231 ELDRIDGE MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-1736
Practice Address - Country:US
Practice Address - Phone:832-978-6876
Practice Address - Fax:713-932-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty