Provider Demographics
NPI:1659542967
Name:AJ HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:AJ HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:CHINEDUM
Authorized Official - Last Name:UGBOMOH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN, MSC
Authorized Official - Phone:214-217-0131
Mailing Address - Street 1:123 EXECUTIVE WAY STE 209
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2308
Mailing Address - Country:US
Mailing Address - Phone:214-217-0131
Mailing Address - Fax:214-217-0132
Practice Address - Street 1:123 EXECUTIVE WAY STE 209
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2308
Practice Address - Country:US
Practice Address - Phone:214-217-0131
Practice Address - Fax:214-217-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty