Provider Demographics
NPI:1629691175
Name:GREEN PASTURES HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GREEN PASTURES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMUKAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-892-8719
Mailing Address - Street 1:10039 BISSONNET ST STE 332
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7864
Mailing Address - Country:US
Mailing Address - Phone:832-892-8719
Mailing Address - Fax:
Practice Address - Street 1:10039 BISSONNET ST STE 332
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7864
Practice Address - Country:US
Practice Address - Phone:832-892-8719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health