MEDICARE: NKECHI AHANOTU

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	008197	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902941123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NKECHI AHANOTU

Provider Business Mailing Address
First Line	:	2646 SOUTH LOOP W
Second Line	:	SUITE 355
City	:	HOUSTON
State	:	TX
Zip	:	77054-2665
Country	:	US
Telephone Number	:	713-218-7099
Fax Number	:	713-218-6772

Provider Business Practice Location Address
First Line	:	2646 SOUTH LOOP W
Second Line	:	SUITE 355
City	:	HOUSTON
State	:	TX
Zip	:	77054-2665
Country	:	US
Telephone Number	:	713-218-7099
Fax Number	:	713-218-6772

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. NKECHI E AHANOTU-ANIGBOGU
Credential	:	R.N., BSN
Telephone Number	:	713-218-7099

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	06/05/2008

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Directions to “NKECHI AHANOTU ” Practice Location

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