Provider Demographics
NPI:1942202767
Name:TRAWOOD HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TRAWOOD HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIBUIKE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:UKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-590-9300
Mailing Address - Street 1:10420 MONTWOOD DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2758
Mailing Address - Country:US
Mailing Address - Phone:915-921-1145
Mailing Address - Fax:915-921-8833
Practice Address - Street 1:10420 MONTWOOD DR
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2758
Practice Address - Country:US
Practice Address - Phone:915-921-1145
Practice Address - Fax:915-921-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009352251E00000X
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17118173-03Medicaid
TX0083NNOtherBCBS OF TEXAS
TX00W464Medicare PIN
TX0083NNOtherBCBS OF TEXAS