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NPI Code Detail

MEDICARE: VIKEM HOME & HEALTH SERVICES

MEDICARE: VIKEM HOME & HEALTH SERVICES
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
1311ZA0620XAdult Care Home Facility
2313M00000XNursing Facility/Intermediate Care Facility
33140N1450XPediatric Skilled Nursing Facility
4332B00000XDurable Medical Equipment & Medical Supplies
5332BN1400XNursing Facility Supplies (DME)
63416L0300XLand Ambulance
7343900000XNon-emergency Medical Transport (VAN)
8347C00000XPrivate Vehicle
9251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123OTHERTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES

General Provider Information

NPI Number : 1790013019
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIKEM HOME & HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 450444
Second Line :
City : HOUSTON
State : TX
Zip : 77245-0444
Country : US
Telephone Number : 972-422-1436
Fax Number : 972-200-5042
Provider Business Practice Location Address
First Line : 4507 TWIN ELM DR
Second Line :
City : FRESNO
State : TX
Zip : 77545-9535
Country : US
Telephone Number : 972-422-1436
Fax Number : 972-200-5042
Authorized Official
Title or Position : CEO/OWNER
Name : MR. JUDE OKEZIE EJIMAKOR
Credential :
Telephone Number : 972-422-1436
Provider Enumeration Date : 11/24/2009
Last Update Date : 11/24/2009

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Directions to “VIKEM HOME & HEALTH SERVICES ” Practice Location

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