Healthcare Provider Details

I. General information

NPI: 1578872404
Provider Name (Legal Business Name): ALEXIAN HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 AVALANCHE DR
MURPHY TX
75094-3667
US

IV. Provider business mailing address

501 AVALANCHE DR
MURPHY TX
75094-3667
US

V. Phone/Fax

Practice location:
  • Phone: 469-480-1614
  • Fax: 972-999-1074
Mailing address:
  • Phone: 469-480-1614
  • Fax: 972-999-1074

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 Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: NDUDIM IROKWE
Title or Position: OWNER
Credential:
Phone: 469-480-1614