Provider Demographics
NPI:1942473624
Name:1ST STATE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:1ST STATE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-888-5900
Mailing Address - Street 1:7447 HARWIN DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2016
Mailing Address - Country:US
Mailing Address - Phone:281-888-5900
Mailing Address - Fax:281-888-5785
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2016
Practice Address - Country:US
Practice Address - Phone:281-888-5900
Practice Address - Fax:281-888-5785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health