Provider Demographics
NPI:1760788418
Name:EDIHUMBLE HOME HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:EDIHUMBLE HOME HEALTHCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:U
Authorized Official - Last Name:UHEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-429-4161
Mailing Address - Street 1:12430 S GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2926
Mailing Address - Country:US
Mailing Address - Phone:713-429-4161
Mailing Address - Fax:281-968-3109
Practice Address - Street 1:8303 SOUTHWEST FWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1606
Practice Address - Country:US
Practice Address - Phone:713-429-4161
Practice Address - Fax:281-968-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747833OtherPTAN/CCN