Provider Demographics
NPI:1497050280
Name:ST ANNE HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:ST ANNE HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:UKAH
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:832-887-1293
Mailing Address - Street 1:12810 CANDACE CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3957
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12810 CANDACE CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3957
Practice Address - Country:US
Practice Address - Phone:823-887-1293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities