Provider Demographics
NPI:1184467995
Name:CEREGEN HEALTH LLC
Entity type:Organization
Organization Name:CEREGEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTINS
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-460-0374
Mailing Address - Street 1:10242 GREENHOUSE RD STE 403
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1827
Mailing Address - Country:US
Mailing Address - Phone:281-460-0374
Mailing Address - Fax:
Practice Address - Street 1:10242 GREENHOUSE RD STE 403
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1827
Practice Address - Country:US
Practice Address - Phone:281-460-0374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253J00000XAgenciesFoster Care AgencyGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty