Healthcare Provider Details

I. General information

NPI: 1437587557
Provider Name (Legal Business Name): ABUCARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 EDEN CROSSING LN
RICHMOND TX
77407-1574
US

IV. Provider business mailing address

7330 EDEN CROSSING LN
RICHMOND TX
77407-1574
US

V. Phone/Fax

Practice location:
  • Phone: 832-715-9088
  • Fax: 713-234-7198
Mailing address:
  • Phone: 832-715-9088
  • Fax: 713-234-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SPENCER OGBONNA
Title or Position: CEO
Credential:
Phone: 832-715-9088