Provider Demographics
NPI:1184048639
Name:INFUCARE HOME HEALTH LLC
Entity type:Organization
Organization Name:INFUCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBUCHUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:713-724-2622
Mailing Address - Street 1:PO BOX 571854
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-1854
Mailing Address - Country:US
Mailing Address - Phone:713-541-5800
Mailing Address - Fax:888-201-2787
Practice Address - Street 1:6300 RICHMOND AVE
Practice Address - Street 2:SUITE 300 A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5931
Practice Address - Country:US
Practice Address - Phone:713-541-5800
Practice Address - Fax:888-201-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health