Provider Demographics
NPI:1619914579
Name:DIMENSION HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:DIMENSION HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUNZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-484-6900
Mailing Address - Street 1:7111 HARWIN DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2129
Mailing Address - Country:US
Mailing Address - Phone:713-484-6900
Mailing Address - Fax:713-484-6902
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:SUITE 216
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:713-484-6900
Practice Address - Fax:713-484-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007985251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170406601Medicaid
TX1619914579OtherNPI
TX170406601Medicaid