Provider Demographics
NPI:1053701797
Name:AJET HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AJET HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:AJETUNMOBI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:713-261-1718
Mailing Address - Street 1:17602 BROWNING TRACE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2752
Mailing Address - Country:US
Mailing Address - Phone:713-261-1718
Mailing Address - Fax:
Practice Address - Street 1:17602 BROWNING TRACE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2752
Practice Address - Country:US
Practice Address - Phone:713-261-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802140027251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health