Provider Demographics
NPI:1104967330
Name:OVATIONS HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:OVATIONS HEALTHCARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OJ
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:IGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-771-6193
Mailing Address - Street 1:PO BOX 1382
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-1382
Mailing Address - Country:US
Mailing Address - Phone:512-771-6193
Mailing Address - Fax:512-692-9142
Practice Address - Street 1:3261 ELIZABETH ANNE LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5721
Practice Address - Country:US
Practice Address - Phone:512-771-6193
Practice Address - Fax:512-692-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010220251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health