Provider Demographics
NPI:1780358127
Name:GLAMOUR CARE GROUP
Entity type:Organization
Organization Name:GLAMOUR CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TITUS SENGOH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHONA NJUMASHOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-742-8214
Mailing Address - Street 1:5707 AMELIA PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2505
Mailing Address - Country:US
Mailing Address - Phone:301-742-8214
Mailing Address - Fax:
Practice Address - Street 1:5707 AMELIA PLANTATION DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2505
Practice Address - Country:US
Practice Address - Phone:301-742-8214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)