Healthcare Provider Details

I. General information

NPI: 1588609028
Provider Name (Legal Business Name): NEW ERA HOME HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9241 LBJ FWY SUITE 208
DALLAS TX
75243-3478
US

IV. Provider business mailing address

9241 LBJ FWY SUITE 208
DALLAS TX
75243-3478
US

V. Phone/Fax

Practice location:
  • Phone: 972-235-0009
  • Fax: 972-690-1644
Mailing address:
  • Phone: 972-235-0009
  • Fax: 972-690-1644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008757
License Number StateTX

VIII. Authorized Official

Name: MR. SIMEON ONYEKA
Title or Position: CFO
Credential:
Phone: 972-235-0009