Healthcare Provider Details

I. General information

NPI: 1871359422
Provider Name (Legal Business Name): ATHENS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 10/20/2024
Certification Date: 10/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6239 WARWICK GARDEN LN
SPRING TX
77379-1452
US

IV. Provider business mailing address

6239 WARWICK GARDEN LN
SPRING TX
77379-1452
US

V. Phone/Fax

Practice location:
  • Phone: 917-435-4427
  • Fax:
Mailing address:
  • Phone: 832-814-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUWATAYO OGUNLADE
Title or Position: OWNER
Credential:
Phone: 832-814-1815