Provider Demographics
NPI:1417113838
Name:SUGARLAND HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:SUGARLAND HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:NWAOGBU
Authorized Official - Last Name:EKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:281-302-6998
Mailing Address - Street 1:13313 SOUTHWEST FREEWAY #107
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3543
Mailing Address - Country:US
Mailing Address - Phone:281-302-6998
Mailing Address - Fax:281-302-6562
Practice Address - Street 1:13313 SOUTHWEST FREEWAY
Practice Address - Street 2:#107
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3543
Practice Address - Country:US
Practice Address - Phone:281-302-6998
Practice Address - Fax:281-302-6562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health