MEDICARE: SUKHANI MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1326864463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUKHANI MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	10050 WEST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-6316
Country	:	US
Telephone Number	:	832-288-7288
Fax Number	:	281-955-5517

Provider Business Practice Location Address
First Line	:	10050 WEST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-6316
Country	:	US
Telephone Number	:	832-288-7288
Fax Number	:	281-955-5517

Authorized Official
Title or Position	:	MANAGER
Name	:	DEEPALI MANUKHANI
Credential	:
Telephone Number	:	832-288-7288

Provider Enumeration Date	:	11/22/2024
Last Update Date	:	11/22/2024

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