MEDICARE: AQUINAI HOME HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1629920269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AQUINAI HOME HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	8330 LBJ FWY STE 475
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1208
Country	:	US
Telephone Number	:	214-792-9761
Fax Number	:	214-954-7384

Provider Business Practice Location Address
First Line	:	8330 LBJ FWY STE 475
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1208
Country	:	US
Telephone Number	:	214-792-9761
Fax Number	:	214-954-7384

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL BENEDICT UDOESSIEN
Credential	:
Telephone Number	:	214-792-9761

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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