Provider Demographics
NPI:1114305257
Name:GABROTA,INC, DBA AMADA SENIOR CARE KATY
Entity Type:Organization
Organization Name:GABROTA,INC, DBA AMADA SENIOR CARE KATY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYSAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-395-4000
Mailing Address - Street 1:111 DAVID FOREST LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16225 PARK TEN PL
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5138
Practice Address - Country:US
Practice Address - Phone:713-395-4000
Practice Address - Fax:713-338-3410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care