Immaculate Home Care Services in Grand Prairie - Health Service
Immaculate Home Care Services - NPI 1003076340
Immaculate Home Care Services is a Health Service in Grand Prairie, Texas. Immaculate Home Care Services practices all healthcare services and medical treatments related to Health Service. The NPI Number for Immaculate Home Care Services is 1003076340. The last update date is 2008-06-10.
Immaculate Home Care Services's current location address is 2304 Oak Ln, Grand Prairie, Texas. You can contact this provider via phone number 9722643000 and fax number 9722645700. The mailing address for Immaculate Home Care Services is 2304 Oak Ln, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immaculate Home Care Services |
|---|---|
| Address | 2304 Oak Ln, Grand Prairie, Texas |
| Phone Number | 9722643000 |
| Fax Number | 9722645700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ogungbire Olufemi Elizabeth |
| Credentials | M.D |
| Telephone Number | 9722643000 |
NPI Number Detail
| NPI Number | 1003076340 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 2304 Oak Ln |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750518812 |
| Phone Number | 9722643000 |
| Fax Number | 9722645700 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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What is the unique 10-digit identifier code issued to Immaculate Home Care Services by the Centers for Medicare & Medicaid Services?
The Immaculate Home Care Services has been assigned the NPI (National Provider Identifier) 1003076340 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Immaculate Home Care Services?
The Immaculate Home Care Services is situated at 2304 Oak Ln, in the city of Grand Prairie, state of TX, with the zip code 750518812.
What is Immaculate Home Care Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Immaculate Home Care Services is Health Service, and the taxonomy classification code that categorizes this area of expertise is 261Qh0100X.
On what date did the Immaculate Home Care Services receive its 1003076340 assignment from the Centers for Medicare & Medicaid Services?
The Immaculate Home Care Services was assigned its 1003076340 by the Centers for Medicare & Medicaid Services on 2008-06-10.
When was the information regarding Immaculate Home Care Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Immaculate Home Care Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-10.
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