Provider Demographics
NPI:1700113339
Name:GREENACRE HOME HEALTHCARE SERVICES,INC.
Entity Type:Organization
Organization Name:GREENACRE HOME HEALTHCARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGNATIUS
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-530-7042
Mailing Address - Street 1:16003 GRAFTONDALE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7571
Mailing Address - Country:US
Mailing Address - Phone:713-530-7042
Mailing Address - Fax:
Practice Address - Street 1:16003 GRAFTONDALE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:713-530-7042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health