Provider Demographics
NPI:1306444799
Name:ST LEO HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ST LEO HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:CHINONSO
Authorized Official - Last Name:IHENETU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-692-3851
Mailing Address - Street 1:6776 SOUTHWEST FWY STE 618
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2107
Mailing Address - Country:US
Mailing Address - Phone:832-692-3851
Mailing Address - Fax:832-767-3626
Practice Address - Street 1:6776 SOUTHWEST FWY STE 618
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2107
Practice Address - Country:US
Practice Address - Phone:832-692-3851
Practice Address - Fax:832-767-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based