Provider Demographics
NPI:1689650095
Name:STO NINO HOME HEALTH INC
Entity Type:Organization
Organization Name:STO NINO HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:AMANTE
Authorized Official - Last Name:ALMADEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-240-3785
Mailing Address - Street 1:3727 GREENBRIAR DR
Mailing Address - Street 2:#302 STE A
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3954
Mailing Address - Country:US
Mailing Address - Phone:281-240-3785
Mailing Address - Fax:281-325-0387
Practice Address - Street 1:3727 GREENBRIAR DR
Practice Address - Street 2:#302 STE A
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3954
Practice Address - Country:US
Practice Address - Phone:281-240-3785
Practice Address - Fax:281-325-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008433251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679396Medicare ID - Type UnspecifiedPROVIDER NUMBER