Provider Demographics
NPI:1679733737
Name:SPECTRUM HOME HEALTHCARE SERVICES INCORPORATED
Entity Type:Organization
Organization Name:SPECTRUM HOME HEALTHCARE SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:NDUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-723-3944
Mailing Address - Street 1:701 SETTING SUN TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-8039
Mailing Address - Country:US
Mailing Address - Phone:214-723-3944
Mailing Address - Fax:
Practice Address - Street 1:701 SETTING SUN TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-8039
Practice Address - Country:US
Practice Address - Phone:214-723-3944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health