Healthcare Provider Details

I. General information

NPI: 1962290387
Provider Name (Legal Business Name): SANCTUARY 61
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5322 TUSCANY HILLS LN
SPRING TX
77373-2396
US

IV. Provider business mailing address

22738 CYPRESSWOOD DR # 1098
SPRING TX
77373-7121
US

V. Phone/Fax

Practice location:
  • Phone: 713-894-4440
  • Fax:
Mailing address:
  • Phone: 713-894-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: REMBO TUM
Title or Position: OWNER
Credential:
Phone: 713-894-4440