Provider Demographics
NPI:1386406692
Name:MUSTARD SEED HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:MUSTARD SEED HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SABINUS
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-274-9652
Mailing Address - Street 1:1826 CROSSHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2470
Mailing Address - Country:US
Mailing Address - Phone:469-274-0652
Mailing Address - Fax:972-956-8356
Practice Address - Street 1:1826 CROSSHAVEN DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2470
Practice Address - Country:US
Practice Address - Phone:469-274-0652
Practice Address - Fax:972-956-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health