Provider Demographics
NPI:1538434808
Name:AGUTEX HOME HEALTH CARE MGNT. SVC. INC.
Entity type:Organization
Organization Name:AGUTEX HOME HEALTH CARE MGNT. SVC. INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:IHEANYI
Authorized Official - Last Name:AGUNERI
Authorized Official - Suffix:
Authorized Official - Credentials:BA,PHYSICAL THERAPY
Authorized Official - Phone:281-827-0275
Mailing Address - Street 1:2207 SILVER LEAF DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5030
Mailing Address - Country:US
Mailing Address - Phone:281-827-0275
Mailing Address - Fax:281-403-2188
Practice Address - Street 1:2207 SILVER LEAF DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5030
Practice Address - Country:US
Practice Address - Phone:281-827-0275
Practice Address - Fax:281-403-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility