Provider Demographics
NPI:1144331372
Name:PECULIAR CARE HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:PECULIAR CARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:214-321-7200
Mailing Address - Street 1:8035 E. R.L. THORNTON FRWY
Mailing Address - Street 2:SUITE 444
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-321-7200
Mailing Address - Fax:214-321-7220
Practice Address - Street 1:8035 E. R.L. THORNTON FRWY
Practice Address - Street 2:SUITE 444
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-7200
Practice Address - Fax:214-321-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
747004Medicare Oscar/Certification