Provider Demographics
NPI:1891017273
Name:MEDLIFE HOME HEALTH LLC
Entity Type:Organization
Organization Name:MEDLIFE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEDAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NECIPOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-624-3702
Mailing Address - Street 1:6243 IH 10 W STE 875
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2048
Mailing Address - Country:US
Mailing Address - Phone:210-624-3702
Mailing Address - Fax:210-624-3700
Practice Address - Street 1:6243 IH 10 W STE 875
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2048
Practice Address - Country:US
Practice Address - Phone:210-624-3702
Practice Address - Fax:210-624-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health