Provider Demographics
NPI:1689615031
Name:US HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:US HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON ASSIST. ADMIN.
Authorized Official - Prefix:MR
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:UDEME
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:817-268-0041
Mailing Address - Street 1:117 W BEFORD EULESS RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4006
Mailing Address - Country:US
Mailing Address - Phone:817-268-0041
Mailing Address - Fax:817-285-8847
Practice Address - Street 1:117 W BEDFORD EULESS RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4006
Practice Address - Country:US
Practice Address - Phone:817-268-0041
Practice Address - Fax:817-285-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009618251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2857021Medicaid
TX679473Medicare Oscar/Certification