Provider Demographics
NPI:1427247899
Name:BEST SHEPHERD HOME HEALTH SERVICES OF DALLAS INC
Entity type:Organization
Organization Name:BEST SHEPHERD HOME HEALTH SERVICES OF DALLAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EUCHARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEREKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-217-4005
Mailing Address - Street 1:9535 FOREST LN
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6295
Mailing Address - Country:US
Mailing Address - Phone:214-217-4005
Mailing Address - Fax:
Practice Address - Street 1:9535 FOREST LANE
Practice Address - Street 2:SUITE 204
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6295
Practice Address - Country:US
Practice Address - Phone:214-217-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012821251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747417Medicare UPIN