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NPI Code Detail

MEDICARE: AQUINAI HOME HEALTHCARE INC.

MEDICARE: AQUINAI 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
1251G00000XCommunity Based Hospice Care Agency
2251J00000XNursing Care Agency
33747P1801XPersonal Care Attendant
4251E00000XHome Health Agency801009174TX

General Provider Information

NPI Number : 1740431899
Entity Type Code : Organization
Provider Name (Legal Business Name) : AQUINAI HOME HEALTHCARE INC.
Provider Business Mailing Address
First Line : 8330 LYNDON B JOHNSON FWY
Second Line : SUITE 475
City : DALLAS
State : TX
Zip : 75243-1166
Country : US
Telephone Number : 214-792-9761
Fax Number : 214-954-7384
Provider Business Practice Location Address
First Line : 8330 LYNDON B JOHNSON FWY
Second Line : SUITE 475
City : DALLAS
State : TX
Zip : 75243-1166
Country : US
Telephone Number : 214-792-9761
Fax Number : 214-954-7384
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MICHAEL BENEDICT UDOESSIEN
Credential :
Telephone Number : 214-792-9761
Provider Enumeration Date : 10/07/2008
Last Update Date : 03/25/2025

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