Provider Demographics
NPI:1710287123
Name:ABOVE RUBIES HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:ABOVE RUBIES HEALTHCARE INCORPORATED
Other - Org Name:ABOVE RUBIES ENTERPRISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:OLADUNNI
Authorized Official - Last Name:DUYILEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-790-1914
Mailing Address - Street 1:16930 COBBLER CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7157
Mailing Address - Country:US
Mailing Address - Phone:832-790-1914
Mailing Address - Fax:
Practice Address - Street 1:16930 COBBLER CROSSING DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7157
Practice Address - Country:US
Practice Address - Phone:832-790-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health