Provider Demographics
NPI:1164504254
Name:REDEMPTION HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:REDEMPTION HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIFON
Authorized Official - Middle Name:
Authorized Official - Last Name:UMOEKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-5667
Mailing Address - Street 1:8303 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 702
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1600
Mailing Address - Country:US
Mailing Address - Phone:832-276-8436
Mailing Address - Fax:
Practice Address - Street 1:8303 SOUTHWEST FWY
Practice Address - Street 2:SUITE 702
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:832-276-8436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008965251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673150Medicare Oscar/Certification