Healthcare Provider Details

I. General information

NPI: 1659573954
Provider Name (Legal Business Name): OB HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 WATERSWAY DR
ROWLETT TX
75088-5566
US

IV. Provider business mailing address

8805 WATERSWAY DR
ROWLETT TX
75088-5566
US

V. Phone/Fax

Practice location:
  • Phone: 469-226-6137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH O ONWUELEZI
Title or Position: D.O.N
Credential: RN, BSN
Phone: 469-226-6137