Provider Demographics
NPI:1851483234
Name:MENAS HOME HEALTHCARE SOLUTIONS INC.
Entity Type:Organization
Organization Name:MENAS HOME HEALTHCARE SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:EKWUIFE
Authorized Official - Last Name:ODIARI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:682-472-5171
Mailing Address - Street 1:2005 IRONSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4118
Mailing Address - Country:US
Mailing Address - Phone:972-247-6641
Mailing Address - Fax:972-247-5373
Practice Address - Street 1:2005 IRONSIDE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4118
Practice Address - Country:US
Practice Address - Phone:972-247-6641
Practice Address - Fax:972-247-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2016-10-04
Deactivation Date:2008-08-12
Deactivation Code:
Reactivation Date:2008-09-18
Provider Licenses
StateLicense IDTaxonomies
TX010056251E00000X
TX011862251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
677878Medicare Oscar/Certification