=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306392600
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALMIGHTY HOME HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2016
-----------------------------------------------------
Last Update Date | 09/21/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9300 JOHN HICKMAN PKWY FRISCO HIGHLANDS OFFICE PARK, BLDG 2, SUITE: 205
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75035-5711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-952-7204
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9300 JOHN HICKMAN PKWY FRISCO HIGHLANDS OFFICE PARK, BLDG 2, SUITE: 205
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75035-5711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-952-7204
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. KIRAN KUMAR GALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 469-952-7204
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------