Provider Demographics
NPI:1376112599
Name:SPRING HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:SPRING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASSANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBENGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-794-3053
Mailing Address - Street 1:PO BOX 1556
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383-1556
Mailing Address - Country:US
Mailing Address - Phone:832-794-3053
Mailing Address - Fax:
Practice Address - Street 1:19627 INTERSTATE 45 N STE 220
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6033
Practice Address - Country:US
Practice Address - Phone:832-794-3053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health