Healthcare Provider Details

I. General information

NPI: 1144497579
Provider Name (Legal Business Name): FACE TO FACE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 S LOOP W SUITE 300
HOUSTON TX
77054-2662
US

IV. Provider business mailing address

2616 S LOOP W SUITE 300
HOUSTON TX
77054-2662
US

V. Phone/Fax

Practice location:
  • Phone: 713-432-7700
  • Fax: 713-432-7703
Mailing address:
  • Phone: 713-432-7700
  • Fax: 713-432-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010260
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0064359
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0064359
License Number StateTX

VIII. Authorized Official

Name: MR. CHUKWUJI OKAA UDENKWO
Title or Position: PRESIDENT CEO
Credential: RN
Phone: 713-432-7700