Provider Demographics
NPI:1952187312
Name:LONGINO GROUP INC
Entity Type:Organization
Organization Name:LONGINO GROUP INC
Other - Org Name:QUALICARE -SUGARLAND, SERVICING MISSION BEND AND SOUTH KATY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WELTHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGINO-TWITTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-675-2699
Mailing Address - Street 1:8230 SONESTA POINT LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5081
Mailing Address - Country:US
Mailing Address - Phone:832-675-2700
Mailing Address - Fax:
Practice Address - Street 1:8230 SONESTA POINT LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5081
Practice Address - Country:US
Practice Address - Phone:832-675-2699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty