Provider Demographics
NPI:1366908832
Name:ALTHEA HOME CARE LLC
Entity type:Organization
Organization Name:ALTHEA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUKWUMA
Authorized Official - Middle Name:CHIMEZIE
Authorized Official - Last Name:OSUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-766-1955
Mailing Address - Street 1:825 WATTERS CREEK BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3770
Mailing Address - Country:US
Mailing Address - Phone:972-245-4458
Mailing Address - Fax:469-521-1204
Practice Address - Street 1:825 WATTERS CREEK BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3770
Practice Address - Country:US
Practice Address - Phone:972-245-4458
Practice Address - Fax:469-521-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care