Provider Demographics
NPI:1881011880
Name:EL-SHADAI HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:EL-SHADAI HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:OMOBONIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-298-5211
Mailing Address - Street 1:1407 LACEY DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3436
Mailing Address - Country:US
Mailing Address - Phone:832-298-5211
Mailing Address - Fax:281-422-3716
Practice Address - Street 1:1407 LACEY DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3436
Practice Address - Country:US
Practice Address - Phone:832-298-5211
Practice Address - Fax:281-422-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health