Provider Demographics
NPI:1558380204
Name:PERUGINI INC
Entity Type:Organization
Organization Name:PERUGINI INC
Other - Org Name:RAPID HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT ADMINISTRATOR/C.F.O
Authorized Official - Prefix:MR
Authorized Official - First Name:MUKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SODEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-0658
Mailing Address - Street 1:3727 GREENBRIAR DR STE 106B
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3928
Mailing Address - Country:US
Mailing Address - Phone:281-240-0658
Mailing Address - Fax:281-240-0079
Practice Address - Street 1:3727 GREENBRIAR DRIVE STE 106B
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77498-3928
Practice Address - Country:US
Practice Address - Phone:281-240-0658
Practice Address - Fax:281-240-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E677967251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-7967Medicare ID - Type UnspecifiedRAPID HOME HEALTH CARE