MEDICARE: WESTRIDGE HOME HEALTH AND HOSPICE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1689034944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTRIDGE HOME HEALTH AND HOSPICE SERVICES INC

Provider Business Mailing Address
First Line	:	10416 BOLIVAR DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2987
Country	:	US
Telephone Number	:	469-631-0261
Fax Number	:

Provider Business Practice Location Address
First Line	:	10416 BOLIVAR DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2987
Country	:	US
Telephone Number	:	469-631-0261
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	EBELE OKEKE
Credential	:	REGISTERED NURSE
Telephone Number	:	469-631-0261

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	10/19/2016

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