Provider Demographics
NPI:1326261918
Name:TAKE CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:TAKE CARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBONG
Authorized Official - Middle Name:OKONO
Authorized Official - Last Name:ETUK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-850-9524
Mailing Address - Street 1:11810 BERRY PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3260
Mailing Address - Country:US
Mailing Address - Phone:281-850-9524
Mailing Address - Fax:713-988-1442
Practice Address - Street 1:11810 BERRY PLACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3260
Practice Address - Country:US
Practice Address - Phone:281-850-9524
Practice Address - Fax:713-988-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011161251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health