Provider Demographics
NPI:1528815867
Name:LOGOS HOME CARE AGENCY, INC
Entity type:Organization
Organization Name:LOGOS HOME CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NORONHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-426-6839
Mailing Address - Street 1:5307 WEATHERSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4263
Mailing Address - Country:US
Mailing Address - Phone:516-426-6839
Mailing Address - Fax:718-343-3949
Practice Address - Street 1:5307 WEATHERSTONE CIR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4263
Practice Address - Country:US
Practice Address - Phone:516-426-6839
Practice Address - Fax:718-343-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities