Provider Demographics
NPI:1083701288
Name:C C C HEALTH CARE INC
Entity Type:Organization
Organization Name:C C C HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DON
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:CHIKA
Authorized Official - Last Name:NWAOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-650-7014
Mailing Address - Street 1:4115 AMBER TRACE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5298
Mailing Address - Country:US
Mailing Address - Phone:280-650-7014
Mailing Address - Fax:281-565-4897
Practice Address - Street 1:4115 AMBER TRACE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5298
Practice Address - Country:US
Practice Address - Phone:280-650-7014
Practice Address - Fax:281-565-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health