MEDICARE: CNG HOME HEALTH,INC

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	251E00000X	Home Health Agency	009030	TX

General Provider Information

NPI Number	:	1699781484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNG HOME HEALTH,INC

Provider Business Mailing Address
First Line	:	24302 DIXON SHOALS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3748
Country	:	US
Telephone Number	:	183-236-3335
Fax Number	:	713-866-4880

Provider Business Practice Location Address
First Line	:	24302 DIXON SHOALS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3748
Country	:	US
Telephone Number	:	832-363-3358
Fax Number	:	713-866-4880

Authorized Official
Title or Position	:	ADMN/D.O.N.
Name	:	MRS. OBIAGELI OLOFINMOYIN
Credential	:	R.N.
Telephone Number	:	329-446-7908

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/14/2023

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