Provider Demographics
NPI:1679832554
Name:ST CHARLES HOME HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ST CHARLES HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-276-6679
Mailing Address - Street 1:4434 BLUEBONNET DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2904
Mailing Address - Country:US
Mailing Address - Phone:832-276-6679
Mailing Address - Fax:281-277-0664
Practice Address - Street 1:4434 BLUEBONNET DR
Practice Address - Street 2:SUITE 120
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2904
Practice Address - Country:US
Practice Address - Phone:832-276-6679
Practice Address - Fax:281-277-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health