Provider Demographics
NPI:1770994394
Name:RUBIES HEALTHCARE INC
Entity type:Organization
Organization Name:RUBIES HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-202-8555
Mailing Address - Street 1:12603 SOUTHWEST FWY STE 552
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3854
Mailing Address - Country:US
Mailing Address - Phone:832-202-8555
Mailing Address - Fax:888-491-8596
Practice Address - Street 1:12603 SOUTHWEST FWY STE 552
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3854
Practice Address - Country:US
Practice Address - Phone:823-202-8555
Practice Address - Fax:888-491-8596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0801980751OtherSOS