Provider Demographics
NPI:1598279549
Name:GS HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:GS HEALTHCARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ONYEGBULE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-383-0669
Mailing Address - Street 1:9207 COUNTRY CREEK DR STE 204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7711
Mailing Address - Country:US
Mailing Address - Phone:713-927-4548
Mailing Address - Fax:713-777-5669
Practice Address - Street 1:6810 SAN REMO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2504
Practice Address - Country:US
Practice Address - Phone:346-383-0669
Practice Address - Fax:877-383-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty