Provider Demographics
NPI:1487195202
Name:OSANA HEALTHCARE PLLC
Entity Type:Organization
Organization Name:OSANA HEALTHCARE PLLC
Other - Org Name:OSANA NON-MEDICAL HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LETTICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-HIGHSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-617-0269
Mailing Address - Street 1:1614 ANNA MILLS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6274
Mailing Address - Country:US
Mailing Address - Phone:346-617-0269
Mailing Address - Fax:
Practice Address - Street 1:1614 ANNA MILLS CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6274
Practice Address - Country:US
Practice Address - Phone:346-617-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care