Healthcare Provider Details

I. General information

NPI: 1609113091
Provider Name (Legal Business Name): HYGIEIA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2013
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 DAISY LANE
FLOWER MOUND TX
75028
US

IV. Provider business mailing address

1508 DAISY LANE
FLOWER MOUND TX
75028
US

V. Phone/Fax

Practice location:
  • Phone: 469-321-1486
  • Fax:
Mailing address:
  • Phone: 469-321-1486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. REBECCA I EROMOSELE
Title or Position: RN/OWNER
Credential: REGISTERED NURSE/RN
Phone: 281-806-9465