Provider Demographics
NPI:1528000270
Name:INDEPLUS GROUP OF COMPANIES INC.
Entity Type:Organization
Organization Name:INDEPLUS GROUP OF COMPANIES INC.
Other - Org Name:INDEPENDENT CARE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:OZIEGBE
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-602-3333
Mailing Address - Street 1:818 DALWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5545
Mailing Address - Country:US
Mailing Address - Phone:972-602-3333
Mailing Address - Fax:972-602-3341
Practice Address - Street 1:818 DALWORTH ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5545
Practice Address - Country:US
Practice Address - Phone:972-602-3333
Practice Address - Fax:972-602-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009258251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCL1023OtherMEDICARE PART B
TX673173Medicare Oscar/Certification