Provider Demographics
NPI:1780616573
Name:MARITONA HEALTH SERVICES INC
Entity type:Organization
Organization Name:MARITONA HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ONUWABHAGBE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ITUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-451-6172
Mailing Address - Street 1:11615 LANTANA REACH DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1483
Mailing Address - Country:US
Mailing Address - Phone:832-451-6172
Mailing Address - Fax:832-451-6469
Practice Address - Street 1:11615 LANTANA REACH DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1483
Practice Address - Country:US
Practice Address - Phone:281-933-3500
Practice Address - Fax:281-933-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677958Medicare ID - Type UnspecifiedHOME HEALTH AGENCY