Provider Demographics
NPI:1447718432
Name:AGILE HOME HEALTH SERVICES IN
Entity type:Organization
Organization Name:AGILE HOME HEALTH SERVICES IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUKAMUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-338-2325
Mailing Address - Street 1:10103 FONDREN RD
Mailing Address - Street 2:STE. 440
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4556
Mailing Address - Country:US
Mailing Address - Phone:713-338-2325
Mailing Address - Fax:713-338-2328
Practice Address - Street 1:10103 FONDREN RD
Practice Address - Street 2:STE. 440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4556
Practice Address - Country:US
Practice Address - Phone:713-338-2325
Practice Address - Fax:713-338-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001029869Medicaid