MEDICARE: DEUS SOLUS HOME HEALTH SERVICES 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	:	1750963708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEUS SOLUS HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	6114 ALLENDALE RIDGE TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6114 ALLENDALE RIDGE TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1037
Country	:	US
Telephone Number	:	832-941-9244
Fax Number	:

Authorized Official
Title or Position	:	ALT. ADMINISTRATOR
Name	:	MR. JOSEPH AZUNWI NJINJOH
Credential	:
Telephone Number	:	832-941-9244

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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