MEDICARE: EMPERIAL UNIVERSAL HEALTH CARE LLC.

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	:	1609396670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPERIAL UNIVERSAL HEALTH CARE LLC.

Provider Business Mailing Address
First Line	:	5027 GOLD HAVEN DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1432
Country	:	US
Telephone Number	:	281-241-4107
Fax Number	:	832-295-0833

Provider Business Practice Location Address
First Line	:	5027 GOLD HAVEN DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1432
Country	:	US
Telephone Number	:	281-241-4107
Fax Number	:	832-295-0833

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MRS. IFY THERESA NWODU
Credential	:
Telephone Number	:	973-901-0844

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	11/02/2020

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