Provider Demographics
NPI:1801400346
Name:CAREGENIX HOME HEALTH LLC
Entity Type:Organization
Organization Name:CAREGENIX HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZIAKONWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-219-2277
Mailing Address - Street 1:2604 CYPRESS RIDGE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6311
Mailing Address - Country:US
Mailing Address - Phone:727-722-7717
Mailing Address - Fax:727-755-6627
Practice Address - Street 1:2604 CYPRESS RIDGE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6311
Practice Address - Country:US
Practice Address - Phone:727-722-7717
Practice Address - Fax:727-755-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health