Provider Demographics
NPI:1558468405
Name:CN HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CN HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:UGWUANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-9995
Mailing Address - Street 1:13250 S GESSNER RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1097
Mailing Address - Country:US
Mailing Address - Phone:713-995-9995
Mailing Address - Fax:713-995-9992
Practice Address - Street 1:13250 S GESSNER RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1097
Practice Address - Country:US
Practice Address - Phone:713-995-9995
Practice Address - Fax:713-995-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009394251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169408501Medicaid