Provider Demographics
NPI:1164956579
Name:ST PAUL HEALTHCARE SYSTEM, LLC.
Entity Type:Organization
Organization Name:ST PAUL HEALTHCARE SYSTEM, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-488-7803
Mailing Address - Street 1:8302 ALISO CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5087
Mailing Address - Country:US
Mailing Address - Phone:832-488-7803
Mailing Address - Fax:
Practice Address - Street 1:8302 ALISO CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5087
Practice Address - Country:US
Practice Address - Phone:832-488-7803
Practice Address - Fax:832-917-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health