Provider Demographics
NPI:1386982197
Name:MAMAI HOME HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:MAMAI HOME HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:GBAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-276-9202
Mailing Address - Street 1:11722 CANYON BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-7669
Mailing Address - Country:US
Mailing Address - Phone:832-276-9202
Mailing Address - Fax:
Practice Address - Street 1:11722 CANYON BREEZE DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-7669
Practice Address - Country:US
Practice Address - Phone:832-276-9202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000Medicaid
TX000000Medicare Oscar/Certification