Provider Demographics
NPI:1568851855
Name:SUGARLAND TRINITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SUGARLAND TRINITY HOME HEALTH CARE, INC.
Other - Org Name:STHHC, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OGONNAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIGHIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-0848
Mailing Address - Street 1:25510 CAMILLA MAE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5071
Mailing Address - Country:US
Mailing Address - Phone:281-277-0848
Mailing Address - Fax:281-277-6808
Practice Address - Street 1:25510 CAMILLA MAE CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-5071
Practice Address - Country:US
Practice Address - Phone:281-277-0848
Practice Address - Fax:281-277-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016941251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016941OtherSTATE LICENSE
TX016941OtherSTATE LICENSE
TX001020792Medicaid
747616Medicare UPIN