Provider Demographics
NPI:1932402054
Name:PANGAEA HEALTH CARE SOLUTIONS
Entity type:Organization
Organization Name:PANGAEA HEALTH CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-567-8461
Mailing Address - Street 1:2626 S LOOP W STE 406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-5613
Mailing Address - Country:US
Mailing Address - Phone:713-432-1930
Mailing Address - Fax:
Practice Address - Street 1:2626 S LOOP W STE 406
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5613
Practice Address - Country:US
Practice Address - Phone:713-432-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-10
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health