Provider Demographics
NPI:1386741544
Name:DYNACARE HEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:DYNACARE HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:NWAKEJU
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-662-0300
Mailing Address - Street 1:2646 SOUTH LOOP W
Mailing Address - Street 2:SUITE 380
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2665
Mailing Address - Country:US
Mailing Address - Phone:317-662-0300
Mailing Address - Fax:713-668-9412
Practice Address - Street 1:2646 SOUTH LOOP W
Practice Address - Street 2:SUITE 380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2665
Practice Address - Country:US
Practice Address - Phone:317-662-0300
Practice Address - Fax:713-668-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010592251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health