Provider Demographics
NPI:1922473404
Name:D'MARTINEZ HOME HEALTH INC
Entity Type:Organization
Organization Name:D'MARTINEZ HOME HEALTH INC
Other - Org Name:CHRISDOR HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:EZIAKONWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-873-9000
Mailing Address - Street 1:1936 W MARTIN LUTHER KING BLVD
Mailing Address - Street 2:#210
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-873-9000
Mailing Address - Fax:
Practice Address - Street 1:1936 W MARTIN LUTHER KING BLVD
Practice Address - Street 2:#210
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-873-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health