Healthcare Provider Details

I. General information

NPI: 1801634001
Provider Name (Legal Business Name): CIB-LLOYDS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2024
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 COOK RD STE 121
HOUSTON TX
77099-1463
US

IV. Provider business mailing address

2507 PARKHAVEN DR
SUGAR LAND TX
77478-6075
US

V. Phone/Fax

Practice location:
  • Phone: 682-558-1212
  • Fax: 346-771-7912
Mailing address:
  • Phone: 682-558-1212
  • Fax: 346-771-7912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. AUSTIN OKAFOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 682-558-1212