Provider Demographics
NPI:1437390945
Name:SMARTLIVING HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:SMARTLIVING HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMELIKE
Authorized Official - Middle Name:UCHECHI
Authorized Official - Last Name:AGOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-974-1036
Mailing Address - Street 1:10101 HARWIN DRIVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:281-974-1036
Mailing Address - Fax:832-830-8406
Practice Address - Street 1:10101 HARWIN DRIVE
Practice Address - Street 2:SUITE 315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:281-974-1036
Practice Address - Fax:832-830-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7449Medicare UPIN