Provider Demographics
NPI:1891988705
Name:ALL YOUR HOME HEALTH, INC.
Entity type:Organization
Organization Name:ALL YOUR HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLETUS
Authorized Official - Middle Name:CHIKEZIE
Authorized Official - Last Name:OGBONNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:210-308-5511
Mailing Address - Street 1:4335 W PIEDRAS DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1215
Mailing Address - Country:US
Mailing Address - Phone:210-308-5511
Mailing Address - Fax:210-308-5522
Practice Address - Street 1:4335 W PIEDRAS DR
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1215
Practice Address - Country:US
Practice Address - Phone:210-308-5511
Practice Address - Fax:210-308-5522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011343251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747065Medicare Oscar/Certification