Provider Demographics
NPI:1356989859
Name:OB TEAM HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:OB TEAM HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:EYONG
Authorized Official - Last Name:OBENOFUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:405-361-6868
Mailing Address - Street 1:22523 MIRAMAR BEND DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1215
Mailing Address - Country:US
Mailing Address - Phone:405-361-6868
Mailing Address - Fax:
Practice Address - Street 1:22523 MIRAMAR BEND DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-1215
Practice Address - Country:US
Practice Address - Phone:405-361-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-15
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty