MEDICARE: DILIGENCE HOME HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558692194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DILIGENCE HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	1821 PALM ST
Second Line	:	UNIT C
City	:	HOUSTON
State	:	TX
Zip	:	77004-5973
Country	:	US
Telephone Number	:	281-804-8867
Fax Number	:	866-470-3118

Provider Business Practice Location Address
First Line	:	1821 PALM ST
Second Line	:	UNIT C
City	:	HOUSTON
State	:	TX
Zip	:	77004-5973
Country	:	US
Telephone Number	:	281-804-8867
Fax Number	:	866-470-3118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FOLUSHO IBIKUNIE
Credential	:
Telephone Number	:	281-804-8867

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	01/21/2010

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