Provider Demographics
NPI:1891402731
Name:VERNGO HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:VERNGO HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MCHUKS
Authorized Official - Middle Name:PAULINUS
Authorized Official - Last Name:ENWERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-282-0862
Mailing Address - Street 1:13002 ORCHARD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3204
Mailing Address - Country:US
Mailing Address - Phone:832-282-0862
Mailing Address - Fax:281-261-3304
Practice Address - Street 1:13002 ORCHARD GLEN DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3204
Practice Address - Country:US
Practice Address - Phone:832-282-0862
Practice Address - Fax:281-261-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness