Healthcare Provider Details

I. General information

NPI: 1467582148
Provider Name (Legal Business Name): MIDWEST HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10832 OLD MILL RD STE 3
OMAHA NE
68154-2672
US

IV. Provider business mailing address

2301 FM 1187 SUITE 203
MANSFIELD TX
76063
US

V. Phone/Fax

Practice location:
  • Phone: 402-934-4752
  • Fax:
Mailing address:
  • Phone: 817-469-6739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA W EDDINS
Title or Position: PRESIDENT OWNER
Credential:
Phone: 817-469-6739