Provider Demographics
NPI:1982780276
Name:EBRA HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:EBRA HOME HEALTH SERVICES INC.
Other - Org Name:EBRA HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUGBENGA
Authorized Official - Middle Name:
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-501-1649
Mailing Address - Street 1:9999 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 909
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3499
Mailing Address - Country:US
Mailing Address - Phone:281-501-1649
Mailing Address - Fax:832-582-8261
Practice Address - Street 1:9999 BELLAIRE BLVD
Practice Address - Street 2:SUITE 909
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3499
Practice Address - Country:US
Practice Address - Phone:281-501-1649
Practice Address - Fax:832-582-8261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health