Provider Demographics
NPI:1194574103
Name:GREENHOUSE HEALTH CARE LLC
Entity type:Organization
Organization Name:GREENHOUSE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY-SMITH
Authorized Official - Middle Name:BAKIA
Authorized Official - Last Name:AGBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-888-3600
Mailing Address - Street 1:4215 GREAT BEAR PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7878
Mailing Address - Country:US
Mailing Address - Phone:832-888-3600
Mailing Address - Fax:
Practice Address - Street 1:4215 GREAT BEAR PL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7878
Practice Address - Country:US
Practice Address - Phone:832-888-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty