=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427251057
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DUNAMIS HEALTHCARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13442 KATY KNOLL CT
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77082-3468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-492-5355
-----------------------------------------------------
Fax | 713-981-1990
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13442 KATY KNOLL CT
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77082-3468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-492-5355
-----------------------------------------------------
Fax | 713-981-1990
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | AMOKE YOMI ADETAYO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-492-5355
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 011133
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------