Provider Demographics
NPI:1942851126
Name:BROOK HEALTHCARE INC
Entity Type:Organization
Organization Name:BROOK HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-491-7578
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 327
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6191
Mailing Address - Country:US
Mailing Address - Phone:832-491-7578
Mailing Address - Fax:832-201-7759
Practice Address - Street 1:12808 W AIRPORT BLVD STE 327
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6191
Practice Address - Country:US
Practice Address - Phone:832-491-7578
Practice Address - Fax:832-201-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities