Provider Demographics
NPI:1730123035
Name:TRIPLE O HEALTH SERVICES INC
Entity Type:Organization
Organization Name:TRIPLE O HEALTH SERVICES INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:OBIAGERI
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:281-903-7546
Mailing Address - Street 1:4141 BLUEBONNET DRIVE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TEXAS
Mailing Address - Zip Code:77477
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4141 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3909
Practice Address - Country:US
Practice Address - Phone:281-903-7546
Practice Address - Fax:832-201-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012016251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677884Medicare Oscar/Certification
TX677884Medicare ID - Type UnspecifiedHHA