Healthcare Provider Details

I. General information

NPI: 1083701288
Provider Name (Legal Business Name): C C C HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22106 STONEBRIAR LN
RICHMOND TX
77469-6341
US

IV. Provider business mailing address

4115 AMBER TRACE CT
SUGAR LAND TX
77479-5298
US

V. Phone/Fax

Practice location:
  • Phone: 281-650-7014
  • Fax: 832-532-7759
Mailing address:
  • Phone: 280-650-7014
  • Fax: 281-565-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: AUGUSTINA CHIKA NWAOGU
Title or Position: ADMINISTRATOR DON
Credential:
Phone: 281-650-7014