Provider Demographics
NPI:1538961701
Name:EASTERN HOME CARE INC
Entity type:Organization
Organization Name:EASTERN HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OKECHUKWU
Authorized Official - Middle Name:UGWUANI
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-297-9972
Mailing Address - Street 1:9575 DUNES LN
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4682
Mailing Address - Country:US
Mailing Address - Phone:952-297-9972
Mailing Address - Fax:
Practice Address - Street 1:9575 DUNES LN
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-4682
Practice Address - Country:US
Practice Address - Phone:952-297-9972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health