Provider Demographics
NPI:1194283101
Name:KINGSHIP HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KINGSHIP HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEGBULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-466-7673
Mailing Address - Street 1:6911 NECTARINE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5767
Mailing Address - Country:US
Mailing Address - Phone:832-466-7673
Mailing Address - Fax:281-670-5042
Practice Address - Street 1:6911 NECTARINE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5767
Practice Address - Country:US
Practice Address - Phone:832-466-7673
Practice Address - Fax:281-670-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health