Provider Demographics
NPI:1487948907
Name:AMESHI MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:AMESHI MANAGEMENT CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSIST ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ASONIBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-454-6826
Mailing Address - Street 1:2439 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6712
Mailing Address - Country:US
Mailing Address - Phone:469-454-6826
Mailing Address - Fax:
Practice Address - Street 1:2439 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6712
Practice Address - Country:US
Practice Address - Phone:469-454-6826
Practice Address - Fax:469-454-6837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011717251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001017795Medicaid
TX001017799Medicaid
TX001018035Medicaid
TX001017797Medicaid
TX001018034Medicaid