Provider Demographics
NPI:1760613822
Name:CT HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:CT HEALTHCARE SERVICES, LLC
Other - Org Name:CT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLINS
Authorized Official - Middle Name:A
Authorized Official - Last Name:IDIEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-859-0476
Mailing Address - Street 1:9835 FREDERICKSBURG RD. #331
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240
Mailing Address - Country:US
Mailing Address - Phone:210-859-0476
Mailing Address - Fax:210-558-3116
Practice Address - Street 1:9835 FREDERICKSBURG RD. #331
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-859-0476
Practice Address - Fax:210-558-3116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CT HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health