Provider Demographics
NPI:1295779023
Name:CUDDLE ME HOME CARE PLLC
Entity type:Organization
Organization Name:CUDDLE ME HOME CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CORINE
Authorized Official - Middle Name:DJEUKOUA
Authorized Official - Last Name:NGAHA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-272-9206
Mailing Address - Street 1:10935 ESTATE LANE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238
Mailing Address - Country:US
Mailing Address - Phone:972-226-1015
Mailing Address - Fax:972-226-1814
Practice Address - Street 1:10935 ESTATE LANE
Practice Address - Street 2:SUITE 190
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238
Practice Address - Country:US
Practice Address - Phone:972-226-1015
Practice Address - Fax:972-226-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013708251F00000X, 261QI0500X, 251E00000X
261QI0500X, 251E00000X
TX009288251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009288OtherLICENSE & CERTIFIED HOME
TX178755801Medicaid
TX009288OtherLICENSE & CERTIFIED HOME