Provider Demographics
NPI:1871640995
Name:SURE HEALTHCARE SERVICES, INC.,
Entity Type:Organization
Organization Name:SURE HEALTHCARE SERVICES, INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATONIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BLATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-721-5408
Mailing Address - Street 1:4803 LOTUS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-3123
Mailing Address - Country:US
Mailing Address - Phone:713-721-5408
Mailing Address - Fax:713-721-5408
Practice Address - Street 1:4803 LOTUS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-3123
Practice Address - Country:US
Practice Address - Phone:713-721-5408
Practice Address - Fax:713-721-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010958251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health