Provider Demographics
NPI:1598514648
Name:MARTINES HEALTHCARE LLC
Entity type:Organization
Organization Name:MARTINES HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAM SIGUEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-330-0124
Mailing Address - Street 1:7892 KNIGHT RD APT 1003
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3028
Mailing Address - Country:US
Mailing Address - Phone:346-330-0124
Mailing Address - Fax:
Practice Address - Street 1:7892 KNIGHT RD APT 1003
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3028
Practice Address - Country:US
Practice Address - Phone:346-330-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health