Provider Demographics
NPI:1689614448
Name:MADONNA HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:MADONNA HEALTH CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-232-8118
Mailing Address - Street 1:8700 COMMERCE PARK DR
Mailing Address - Street 2:SUITE # 216
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7497
Mailing Address - Country:US
Mailing Address - Phone:281-232-8118
Mailing Address - Fax:832-595-1555
Practice Address - Street 1:301 SOUTH 9TH STREET
Practice Address - Street 2:SUITE # 116
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3348
Practice Address - Country:US
Practice Address - Phone:281-232-8118
Practice Address - Fax:832-595-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010446251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health