Provider Demographics
NPI:1528574977
Name:SAFELINE HOME HEALTH
Entity Type:Organization
Organization Name:SAFELINE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IBIYEMI
Authorized Official - Middle Name:SAFURAT
Authorized Official - Last Name:ADEBIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:291-794-3546
Mailing Address - Street 1:7539 COPPER KETTLE
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3936
Mailing Address - Country:US
Mailing Address - Phone:281-794-3546
Mailing Address - Fax:
Practice Address - Street 1:7539 COPPER KETTLE
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3936
Practice Address - Country:US
Practice Address - Phone:281-794-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health