=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588469878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DANAID HOME HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2025
-----------------------------------------------------
Last Update Date | 02/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 158 PINEWOOD AVE
-----------------------------------------------------
City | RED OAK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75154-0109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-516-3970
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 158 PINEWOOD AVE
-----------------------------------------------------
City | RED OAK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75154-0109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-516-3970
-----------------------------------------------------
Fax | 214-975-1477
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | EMMANUEL AJOKU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-516-3970
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------