Healthcare Provider Details

I. General information

NPI: 1205950144
Provider Name (Legal Business Name): AMANDA HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7027 PLAZA DEL SOL DR
HOUSTON TX
77083-3210
US

IV. Provider business mailing address

7027 PLAZA DEL SOL DR
HOUSTON TX
77083-3210
US

V. Phone/Fax

Practice location:
  • Phone: 281-561-8040
  • Fax: 281-741-1944
Mailing address:
  • Phone: 281-561-8040
  • Fax: 281-741-1944

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GODWIN U NKWOCHA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 281-561-8040