Provider Demographics
| NPI: | 1407536030 |
|---|---|
| Name: | SAMNENAA CARE INC. |
| Entity type: | Organization |
| Organization Name: | SAMNENAA CARE INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SAMUEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MBAH |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 713-966-0549 |
| Mailing Address - Street 1: | 32911 CHASE WILLIAM DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BROOKSHIRE |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77423-2875 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-966-0549 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 32911 CHASE WILLIAM DR |
| Practice Address - Street 2: | |
| Practice Address - City: | BROOKSHIRE |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77423-2875 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-966-0549 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-07-19 |
| Last Update Date: | 2024-07-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
| No | 251E00000X | Agencies | Home Health | ||
| No | 251J00000X | Agencies | Nursing Care |