Provider Demographics
NPI:1316141856
Name:SAVIOR HOME HEALTH INC
Entity type:Organization
Organization Name:SAVIOR HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KUNLE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:OKERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-7742
Mailing Address - Street 1:303 TREES DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5025
Mailing Address - Country:US
Mailing Address - Phone:972-291-7742
Mailing Address - Fax:972-299-5735
Practice Address - Street 1:303 TREES DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5025
Practice Address - Country:US
Practice Address - Phone:972-291-7742
Practice Address - Fax:972-299-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011355251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677852Medicare ID - Type UnspecifiedHOME HEALTH AGENCY