Provider Demographics
NPI:1528782422
Name:OKRA HOME HEALTH LLC
Entity type:Organization
Organization Name:OKRA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-314-3384
Mailing Address - Street 1:10630 WESTBRAE PKWY APT 207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2445
Mailing Address - Country:US
Mailing Address - Phone:307-314-3384
Mailing Address - Fax:
Practice Address - Street 1:10680 WESTBRAE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2421
Practice Address - Country:US
Practice Address - Phone:713-541-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health