Provider Demographics
NPI:1225514946
Name:MAKINDE, CHRISTIANAH
Entity Type:Individual
Prefix:
First Name:CHRISTIANAH
Middle Name:
Last Name:MAKINDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 SYNOTT RD APT 1003
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3548
Mailing Address - Country:US
Mailing Address - Phone:832-573-7790
Mailing Address - Fax:
Practice Address - Street 1:ROYAL HOME CARE
Practice Address - Street 2:15358 PARK ROW BLVD
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:281-647-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188054164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse