Provider Demographics
NPI:1457697195
Name:AMPLE HEALTHCARE INC.
Entity Type:Organization
Organization Name:AMPLE HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT. SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANDU
Authorized Official - Middle Name:CJ
Authorized Official - Last Name:OBOT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-491-0131
Mailing Address - Street 1:8319 SIERRA HILL CT,
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:281-491-0131
Mailing Address - Fax:
Practice Address - Street 1:8319 SIERRA HILL CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:281-491-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management