Provider Demographics
NPI:1083013460
Name:STAMD HEALTH CARE, INCORPORATED
Entity Type:Organization
Organization Name:STAMD HEALTH CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEBUSOLA
Authorized Official - Middle Name:STELLA
Authorized Official - Last Name:OYESILE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:443-938-8397
Mailing Address - Street 1:20642 GARDEN RIDGE CYN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4134
Mailing Address - Country:US
Mailing Address - Phone:443-938-8397
Mailing Address - Fax:832-535-3899
Practice Address - Street 1:20642 GARDEN RIDGE CYN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4134
Practice Address - Country:US
Practice Address - Phone:443-938-8397
Practice Address - Fax:832-535-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health