Provider Demographics
NPI:1801884259
Name:WESTAR HEALTH MANAGEMENT INC
Entity type:Organization
Organization Name:WESTAR HEALTH MANAGEMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:C
Authorized Official - Last Name:IHEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-698-7451
Mailing Address - Street 1:3149 US HIGHWAY 67
Mailing Address - Street 2:SUITE C
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2790
Mailing Address - Country:US
Mailing Address - Phone:972-698-7451
Mailing Address - Fax:972-698-7453
Practice Address - Street 1:3149 US HIGHWAY 67
Practice Address - Street 2:SUITE C
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2790
Practice Address - Country:US
Practice Address - Phone:972-698-7451
Practice Address - Fax:972-698-7453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008774251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008774OtherHOME HEALTH LICENSE NUMBE
TX679482Medicare ID - Type UnspecifiedPROVIDER NUMBER