Healthcare Provider Details
I. General information
NPI: 1093732893
Provider Name (Legal Business Name): MEGACARE HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2006
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4606 FARM TO MARKET 1960 RD W SUITE 575
HOUSTON TX
77069-4600
US
IV. Provider business mailing address
4606 FARM TO MARKET 1960 RD W SUITE 575
HOUSTON TX
77069-4600
US
V. Phone/Fax
- Phone: 713-995-0675
- Fax: 713-995-0445
- Phone: 713-995-0675
- Fax: 713-995-0445
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 013285 |
| License Number State | TX |
VIII. Authorized Official
Name: MRS.
ELIZABETH
OKOYE-DIKE
Title or Position: DON/ADMINISTRATOR
Credential: MSN, APRN, FNP-C
Phone: 713-995-0675