Provider Demographics
NPI:1841525458
Name:ALINE HOME HEALTHCARE OF TEXAS INC
Entity type:Organization
Organization Name:ALINE HOME HEALTHCARE OF TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-267-1707
Mailing Address - Street 1:1140 EMPIRE CENTRAL DR STE 625
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4332
Mailing Address - Country:US
Mailing Address - Phone:214-267-1707
Mailing Address - Fax:214-267-1720
Practice Address - Street 1:1140 EMPIRE CENTRAL DR STE 625
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4332
Practice Address - Country:US
Practice Address - Phone:214-267-1707
Practice Address - Fax:214-267-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005977251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024426101Medicaid
TX001029485Medicaid