Provider Demographics
NPI:1437663812
Name:GREAT GOLD CONCEPT HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:GREAT GOLD CONCEPT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ADAKU
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-307-3595
Mailing Address - Street 1:2722 NICKEL CANYON DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2519
Mailing Address - Country:US
Mailing Address - Phone:443-307-3595
Mailing Address - Fax:281-778-5489
Practice Address - Street 1:2722 NICKEL CANYON DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2519
Practice Address - Country:US
Practice Address - Phone:443-307-3595
Practice Address - Fax:281-778-5489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health