Provider Demographics
NPI:1558440792
Name:PATRICK OGBEIDE
Entity Type:Organization
Organization Name:PATRICK OGBEIDE
Other - Org Name:DESTINY HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGBEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-725-5080
Mailing Address - Street 1:3002 WESTSHORE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5695
Mailing Address - Country:US
Mailing Address - Phone:214-725-5080
Mailing Address - Fax:469-366-7699
Practice Address - Street 1:3002 WESTSHORE DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5695
Practice Address - Country:US
Practice Address - Phone:214-725-5080
Practice Address - Fax:469-366-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health