Provider Demographics
NPI:1720891278
Name:CORDIUM HOME HEALTH LLC
Entity type:Organization
Organization Name:CORDIUM HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-357-7613
Mailing Address - Street 1:1725 JAMESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3466
Mailing Address - Country:US
Mailing Address - Phone:424-335-9535
Mailing Address - Fax:
Practice Address - Street 1:1725 JAMESTOWN DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3466
Practice Address - Country:US
Practice Address - Phone:972-357-7613
Practice Address - Fax:972-357-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health