Provider Demographics
NPI:1932384054
Name:TJ WOMI HOME HEALTH
Entity Type:Organization
Organization Name:TJ WOMI HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNYOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-681-0013
Mailing Address - Street 1:PO BOX 720843
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-0843
Mailing Address - Country:US
Mailing Address - Phone:832-681-0013
Mailing Address - Fax:
Practice Address - Street 1:9702 CLIFTON PARK DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5500
Practice Address - Country:US
Practice Address - Phone:713-448-9670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA08386392251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health