Provider Demographics
NPI:1700211265
Name:MUSTARD SEED HOME HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:MUSTARD SEED HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SABINUS
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-274-9652
Mailing Address - Street 1:1531 S STATE HIGHWAY 121
Mailing Address - Street 2:APT 3422
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-5920
Mailing Address - Country:US
Mailing Address - Phone:469-274-9652
Mailing Address - Fax:972-956-8356
Practice Address - Street 1:1531 S STATE HIGHWAY 121
Practice Address - Street 2:APT 3422
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-5920
Practice Address - Country:US
Practice Address - Phone:469-274-9652
Practice Address - Fax:972-956-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health