Provider Demographics
NPI:1447268412
Name:ECLIPSE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ECLIPSE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINWUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-222-0322
Mailing Address - Street 1:1452 JUNCTION RUN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4409
Mailing Address - Country:US
Mailing Address - Phone:972-222-0322
Mailing Address - Fax:972-222-0396
Practice Address - Street 1:1452 JUNCTION RUN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4409
Practice Address - Country:US
Practice Address - Phone:972-222-0322
Practice Address - Fax:972-222-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010094251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-7819Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER