Provider Demographics
NPI:1578150058
Name:PELEZA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:PELEZA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:EVALYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYANGAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-434-6218
Mailing Address - Street 1:10935 ESTATE LN STE 119
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2421
Mailing Address - Country:US
Mailing Address - Phone:469-206-0395
Mailing Address - Fax:
Practice Address - Street 1:10935 ESTATE LN STE 119
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2421
Practice Address - Country:US
Practice Address - Phone:469-206-0395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health