MEDICARE: ALL YOUR HOME HEALTH, 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	011343	TX

General Provider Information

NPI Number	:	1891988705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL YOUR HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	4335 W PIEDRAS DR
Second Line	:	SUITE 107
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1215
Country	:	US
Telephone Number	:	210-308-5511
Fax Number	:	210-308-5522

Provider Business Practice Location Address
First Line	:	4335 W PIEDRAS DR
Second Line	:	SUITE 107
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1215
Country	:	US
Telephone Number	:	210-308-5511
Fax Number	:	210-308-5522

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CLETUS CHIKEZIE OGBONNA
Credential	:	RN, MBA
Telephone Number	:	210-308-5511

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	07/05/2016

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