Healthcare Provider Details

I. General information

NPI: 1508928276
Provider Name (Legal Business Name): UKHH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18504 CROWNOVER CT
DALLAS TX
75252-2506
US

IV. Provider business mailing address

18504 CROWNOVER CT
DALLAS TX
75252-2506
US

V. Phone/Fax

Practice location:
  • Phone: 972-312-1776
  • Fax: 972-312-9897
Mailing address:
  • Phone: 972-312-1776
  • Fax: 972-312-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011043
License Number StateTX

VIII. Authorized Official

Name: MS. SHIRIN NASSEHI
Title or Position: DIRECTOR
Credential:
Phone: 214-755-0054