Immaculate Home Care Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

IMMACULATE HOME CARE SERVICES

Practice address

2304 Oak LN
Suite 13
Grand Prairie, TX 75051-8812

Phone

(972) 264-3000

Fax

(972) 264-5700

NPI assigned

Jun 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Olufemi Ogungbire, M.D

Title

Owner

Phone

(972) 264-3000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1003076340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "address_2": "SUITE 13",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "972-264-3000",
            "fax_number": "972-264-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "address_2": "SUITE 13",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "972-264-3000",
            "fax_number": "972-264-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "OGUNGBIRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "OLUFEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-264-3000",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Cordelia Iloanya
• Medukam Ilokwu, LVN
• Imagin Etc Inc.
• Imd Healthcare Association, Inc.
• Immaculate Healthcare Services Inc
• Indelible Health & Wellness LLC
• Indeplus Group of Companies Inc.
• Innovate Functional Care L.L.C
• Inspired by You Counseling and Lifestyle Therapy PLLC
• Institute for Health Evaluation and Research Unlimited LLC

• Health Service Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.