Provider Demographics
NPI:1285962217
Name:PRIHOMEHEALTH, INC.
Entity type:Organization
Organization Name:PRIHOMEHEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMORIGIE DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-259-7555
Mailing Address - Street 1:16331 DRYBERRY CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5182
Mailing Address - Country:US
Mailing Address - Phone:281-302-6661
Mailing Address - Fax:866-336-7471
Practice Address - Street 1:16331 DRYBERRY CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5182
Practice Address - Country:US
Practice Address - Phone:281-302-6661
Practice Address - Fax:866-336-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013227251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747531Medicare Oscar/Certification