MEDICARE: MARITONA HEALTH SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780616573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARITONA HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	11615 LANTANA REACH DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1483
Country	:	US
Telephone Number	:	832-451-6172
Fax Number	:	832-451-6469

Provider Business Practice Location Address
First Line	:	11615 LANTANA REACH DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1483
Country	:	US
Telephone Number	:	281-933-3500
Fax Number	:	281-933-3505

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ONUWABHAGBE C ITUAH
Credential	:
Telephone Number	:	832-451-6172

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	05/14/2025

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