Provider Demographics
NPI:1962543116
Name:AMERICAN UNITED QUALITY HOME HEALTH CARE
Entity type:Organization
Organization Name:AMERICAN UNITED QUALITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGETTA
Authorized Official - Middle Name:CENTENTERRIA MARIE
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-298-7088
Mailing Address - Street 1:606 ORIOLE BLVD STE 300
Mailing Address - Street 2:STE 300
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3500
Mailing Address - Country:US
Mailing Address - Phone:972-298-7088
Mailing Address - Fax:970-298-7099
Practice Address - Street 1:606 ORIOLE BLVD STE 300
Practice Address - Street 2:STE 300
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3500
Practice Address - Country:US
Practice Address - Phone:972-298-7088
Practice Address - Fax:970-298-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010991251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health