Provider Demographics
NPI:1689480329
Name:HOMEWARD HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:HOMEWARD HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UFUOMANEFE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIK ULOHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-488-6086
Mailing Address - Street 1:3120 SOUTHWEST FWY STE 101 PMB 541047
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4520
Mailing Address - Country:US
Mailing Address - Phone:832-488-6086
Mailing Address - Fax:
Practice Address - Street 1:12808 W AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6184
Practice Address - Country:US
Practice Address - Phone:832-488-6086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities