Provider Demographics
NPI:1639308026
Name:MOTHER IS GOLD HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MOTHER IS GOLD HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:NANA
Authorized Official - Last Name:NZEPAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-337-2693
Mailing Address - Street 1:3610 W PIONEER PKWY STE 206
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4519
Mailing Address - Country:US
Mailing Address - Phone:469-337-2693
Mailing Address - Fax:682-518-6355
Practice Address - Street 1:3610 W PIONEER PKWY STE 206
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4519
Practice Address - Country:US
Practice Address - Phone:469-337-2693
Practice Address - Fax:682-518-6355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health