Healthcare Provider Details

I. General information

NPI: 1801108287
Provider Name (Legal Business Name): ROSYRAY HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 W AIRPORT FWY STE 320
IRVING TX
75062-6028
US

IV. Provider business mailing address

2121 W AIRPORT FWY STE 320
IRVING TX
75062-6028
US

V. Phone/Fax

Practice location:
  • Phone: 214-529-6820
  • Fax: 972-584-9292
Mailing address:
  • Phone: 214-529-6820
  • Fax: 972-584-9292

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND ONYEKWERE
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-529-6820