Provider Demographics
NPI:1265121248
Name:GRO PROVIDERS SERVICES
Entity type:Organization
Organization Name:GRO PROVIDERS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINIKANWA
Authorized Official - Middle Name:JACINTHA
Authorized Official - Last Name:OGUDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-330-9754
Mailing Address - Street 1:11106 CRESTLINE BAY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7275
Mailing Address - Country:US
Mailing Address - Phone:832-330-9754
Mailing Address - Fax:
Practice Address - Street 1:11106 CRESTLINE BAY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7275
Practice Address - Country:US
Practice Address - Phone:832-330-9754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty