Provider Demographics
NPI:1669593497
Name:ESHCOL HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:ESHCOL HEALTH CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UZO
Authorized Official - Middle Name:A
Authorized Official - Last Name:UZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-252-4500
Mailing Address - Street 1:415 E AIRPORT FWY STE 230
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6331
Mailing Address - Country:US
Mailing Address - Phone:972-252-4500
Mailing Address - Fax:972-252-4600
Practice Address - Street 1:415 E AIRPORT FWY STE 230
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6331
Practice Address - Country:US
Practice Address - Phone:972-252-4500
Practice Address - Fax:972-252-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014670251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1583825-01Medicaid
TX679114Medicare Oscar/Certification