Provider Demographics
NPI:1972051175
Name:MENOX CARE LLC
Entity Type:Organization
Organization Name:MENOX CARE LLC
Other - Org Name:MENOX CARE ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ONOME
Authorized Official - Middle Name:AUGUSTA
Authorized Official - Last Name:UBARU
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:832-314-1922
Mailing Address - Street 1:6922 VIALINDA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1155
Mailing Address - Country:US
Mailing Address - Phone:281-933-8510
Mailing Address - Fax:281-933-8510
Practice Address - Street 1:6922 VIALINDA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1155
Practice Address - Country:US
Practice Address - Phone:832-314-1922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103803311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)