Provider Demographics
NPI:1275745457
Name:LIMBE HOUSE INC.
Entity Type:Organization
Organization Name:LIMBE HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NGUNDJO
Authorized Official - Middle Name:CHE
Authorized Official - Last Name:OGUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-216-8120
Mailing Address - Street 1:12115 CORONA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3327
Mailing Address - Country:US
Mailing Address - Phone:832-216-8120
Mailing Address - Fax:832-617-7991
Practice Address - Street 1:12115 CORONA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3327
Practice Address - Country:US
Practice Address - Phone:281-983-0045
Practice Address - Fax:281-983-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000332310400000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000139500Medicaid