Provider Demographics
NPI:1871629659
Name:HONOR HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:HONOR HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:EJIZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-689-4095
Mailing Address - Street 1:914 QUIET WATER CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5264
Mailing Address - Country:US
Mailing Address - Phone:832-689-4095
Mailing Address - Fax:
Practice Address - Street 1:914 QUIET WATER CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5264
Practice Address - Country:US
Practice Address - Phone:832-689-4095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010670251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health