Healthcare Provider Details

I. General information

NPI: 1669775557
Provider Name (Legal Business Name): HUCKEYE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21211 PARK WICK LN
KATY TX
77450-4047
US

IV. Provider business mailing address

5910 DILLON CREEK LN
KATY TX
77494-0488
US

V. Phone/Fax

Practice location:
  • Phone: 281-712-2051
  • Fax:
Mailing address:
  • Phone: 281-712-2051
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER NDUDI OJIAKO
Title or Position: DIRECTOR
Credential:
Phone: 281-712-2051