Provider Demographics
NPI:1538767314
Name:EHI HOME HEALTH PROVIDERS LLC
Entity type:Organization
Organization Name:EHI HOME HEALTH PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYEMHENRE
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIKIOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-809-0436
Mailing Address - Street 1:556 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3321
Mailing Address - Country:US
Mailing Address - Phone:347-809-0436
Mailing Address - Fax:
Practice Address - Street 1:556 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3321
Practice Address - Country:US
Practice Address - Phone:347-809-0436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health