Provider Demographics
NPI:1225192446
Name:TREASURE HEALTHCARE
Entity Type:Organization
Organization Name:TREASURE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:LINUS
Authorized Official - Middle Name:NNODI
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-981-7629
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-981-7629
Mailing Address - Fax:713-981-0727
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-981-7629
Practice Address - Fax:713-981-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010301251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673130Medicare Oscar/Certification