IMMACULATE HOME CARE SERVICES (NPI# 1003076340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076340 |
| Entity Type | Organization |
| Organization Name | IMMACULATE HOME CARE SERVICES |
| Practice Address |
2304 Oak Ln Suite 13 Grand Prairie TX 75051-8812 |
| Practice Telephone | 9722643000 |
| Practice Fax Number | 9722645700 |
| Mailing Telephone | 9722643000 |
| Mailing Fax Number | 9722645700 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | ELIZABETH OLUFEMI OGUNGBIRE (OWNER) |
| Authorized Official Telephone | 9722643000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
2304 OAK LN SUITE 13 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-8812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922017193 | Bmr Ventures LLC | Durable Medical Equipment & Medical Supplies | 2304 Oak Ln, Suite 6, Grand Prairie, TX 75051-8812 | 2006-08-05 |
| 1285187724 | Foas Enterprises Inc | Non-emergency Medical Transport (VAN) | 2304 Oak Ln, Suite 5, Grand Prairie, TX 75051-8812 | 2016-08-02 |
| 1104201615 | Foas Enterprises | Non-emergency Medical Transport (VAN) | 2304 Oak Ln, Suite 5, Grand Prairie, TX 75051-8812 | 2015-07-26 |
| 1497137764 | Metlink Services LLC | Non-emergency Medical Transport (VAN) | 2304 Oak Ln, Suite 1, Grand Prairie, TX 75051-8812 | 2015-06-23 |
| 1285015420 | Saib Feyisetan | Non-emergency Medical Transport (VAN) | 2304 Oak Ln, Suite 5, Grand Prairie, TX 75051-8812 | 2015-06-13 |
| 1184926396 | Divine Cure Health, Inc | Case Management | 2304 Oak Ln, #15, Grand Prairie, TX 75051-8812 | 2010-11-19 |
| 1518297696 | Our Anchor Healthcare Services Inc. | Home Health | 2304 Oak Ln, Suite 217, Grand Prairie, TX 75051-8812 | 2010-01-12 |
| 1487987624 | Rockland Medical Supply & Equipment Inc | Durable Medical Equipment & Medical Supplies | 2304 Oak Ln, Suite 114, Grand Prairie, TX 75051-8812 | 2009-09-04 |
| 1811131808 | Geeta Khare | Durable Medical Equipment & Medical Supplies | 2304 Oak Ln, Ste # 5, Grand Prairie, TX 75051-8812 | 2009-04-22 |
| 1194968644 | Rod & Staff Home Healthcare Services Inc | Home Health | 2304 Oak Ln, Ste 201, Grand Prairie, TX 75051-8812 | 2009-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1386255065 | Divine Grace Family Clinic Inc | Clinic/Center | 2455 Robinson Rd Ste 100, Grand Prairie, TX 75051-3852 | 2020-08-14 |
| 1295102309 | Adebowale Alao Adedeji | Clinic/Center | 2613 Hawco Dr Apt 1822, 2613 Hawco Dr Apt 1822, Grand Prairie, TX 75052-7668 | 2015-08-24 |
| 1386069821 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 1601 W Marshall Dr, Grand Prairie, TX 75051-2801 | 2014-02-20 |
| 1235571340 | Great Southwest Medical LLC | Clinic/Center | 643 S Great Southwest Pkwy, Suite 104, Grand Prairie, TX 75051-1056 | 2013-07-18 |
| 1427336932 | Kabetzke Chiropractic Inc. | Clinic/Center | 2426 S Carrier Pkwy, Grand Prairie, TX 75051-3805 | 2011-08-01 |
| 1275782229 | Concentra Health Services, Inc. | Clinic/Center | 2100 North Highway 360, Suite 2201, Grand Prairie, TX 75050-1009 | 2008-09-15 |
| 1578728796 | Peace Health Care Services | Clinic/Center | 2304 Oak Ln, Suite 13, Grand Prairie, TX 75051-8812 | 2008-07-28 |
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|---|---|---|---|---|
| 1902412125 | Josella Investment LLC | Clinic/Center | 3831 Tarragon Bend Dr, Richmond, TX 77406-2618 | 2020-09-22 |
| 1497360077 | Care Connectors Medical Group Associates | Clinic/Center | 7956 Crescent Moon Pl, El Paso, TX 79932-1069 | 2020-09-10 |
| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1760090526 | Sinang Medical & Associates | Clinic/Center | 10970 Shadow Creek Pkwy Ste 2, Pearland, TX 77584-0100 | 2020-07-17 |
| 1376160390 | Swell Steps Therapy | Clinic/Center | 4302 Cibolo Creek Trl, Prosper, TX 75078-9797 | 2020-06-26 |
| 1417570003 | Desire To Live Now, LLC | Clinic/Center | 1409 N Bishop St # A4, San Marcos, TX 78666-2600 | 2020-05-18 |
| 1255951679 | Sedrick Dewayne Bunton | Clinic/Center | 2923 Havenwood Ct, Richmond, TX 77406-2091 | 2020-04-26 |
| 1013536580 | Shifa Healthcare & Community Services Usa Inc. | Clinic/Center | 10415 Synott Rd Bldg D, Sugar Land, TX 77498-1132 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.