Provider Demographics
NPI:1548042146
Name:ASSURED GENTLE HAND HOME CARE
Entity type:Organization
Organization Name:ASSURED GENTLE HAND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EKATA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOGBOSELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-452-1017
Mailing Address - Street 1:14370 WHITETOP PEAK CT
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-1500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14370 WHITETOP PEAK CT
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-1500
Practice Address - Country:US
Practice Address - Phone:346-645-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care