MEDICARE: SAMEK HOMECARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1326144171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMEK HOMECARE, INC

Provider Business Mailing Address
First Line	:	13330 AGARITA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1904
Country	:	US
Telephone Number	:	281-827-8515
Fax Number	:	832-598-2413

Provider Business Practice Location Address
First Line	:	13330 AGARITA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1904
Country	:	US
Telephone Number	:	281-827-8515
Fax Number	:	832-598-2413

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MRS. OJIUGO MIENNAYA IKO
Credential	:
Telephone Number	:	281-827-8515

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/22/2020

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