Provider Demographics
NPI:1285365874
Name:GOD'S OWN HOME CARE LLC
Entity type:Organization
Organization Name:GOD'S OWN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:DAUDA
Authorized Official - Last Name:OMILUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-874-5397
Mailing Address - Street 1:2108 BROOKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2415
Mailing Address - Country:US
Mailing Address - Phone:347-874-5397
Mailing Address - Fax:
Practice Address - Street 1:2108 BROOKWOOD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-2415
Practice Address - Country:US
Practice Address - Phone:347-874-5397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care