Provider Demographics
NPI:1386253425
Name:OHANA HOME HEALTH AND HOSPICE SERVICES
Entity type:Organization
Organization Name:OHANA HOME HEALTH AND HOSPICE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTAVION
Authorized Official - Middle Name:
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-672-4236
Mailing Address - Street 1:1229 E PLEASANT RUN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4214
Mailing Address - Country:US
Mailing Address - Phone:972-672-4236
Mailing Address - Fax:
Practice Address - Street 1:1229 E PLEASANT RUN RD STE 208
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4214
Practice Address - Country:US
Practice Address - Phone:972-672-4236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty