MEDICARE: APLUS PROHEALTH HOME HEALTHCARE 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	:	1629485958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APLUS PROHEALTH HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2510 WILLOW SPRINGS LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-8845
Country	:	US
Telephone Number	:	914-607-1727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 WILLOW SPRINGS LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-8845
Country	:	US
Telephone Number	:	914-607-1727
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLUFUNMI FAJIMOLU
Credential	:
Telephone Number	:	914-607-1727

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	07/28/2014

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