Provider Demographics
NPI:1871842096
Name:SIMPLE HEARTS HEALTHCARE SERVICES LTD
Entity Type:Organization
Organization Name:SIMPLE HEARTS HEALTHCARE SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NDUBUISI
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ODIMEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-353-9736
Mailing Address - Street 1:1934 PLUM CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4165
Mailing Address - Country:US
Mailing Address - Phone:832-486-9596
Mailing Address - Fax:
Practice Address - Street 1:1934 PLUM CREEK LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4165
Practice Address - Country:US
Practice Address - Phone:832-486-9596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health