Provider Demographics
NPI:1568823110
Name:DENOBLE ENTERPRISES, INC
Entity Type:Organization
Organization Name:DENOBLE ENTERPRISES, INC
Other - Org Name:AMADA SENIOR CARE- SUGAR LAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:DENOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-638-4094
Mailing Address - Street 1:3 SUGAR CREEK CENTER
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-638-4094
Mailing Address - Fax:
Practice Address - Street 1:11934 LOIS LANE DR.
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:TX
Practice Address - Zip Code:77362
Practice Address - Country:US
Practice Address - Phone:281-638-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care