1508289497 NPI number — SILVER SPRINGS HOME HEALTHCARE SERVICES, INC.

Table of content: MISS MAUREEN ANNE EDWARDS LPN (NPI 1124084199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508289497 NPI number — SILVER SPRINGS HOME HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVER SPRINGS HOME HEALTHCARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508289497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 AUGUSTA PINES DR
Provider Second Line Business Mailing Address:
SUITE 120 W
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77389-3592
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-651-2268
Provider Business Mailing Address Fax Number:
281-656-5230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 AUGUSTA PINES DR
Provider Second Line Business Practice Location Address:
SUITE 120 W
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77389-3592
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-651-2268
Provider Business Practice Location Address Fax Number:
281-656-5230
Provider Enumeration Date:
01/28/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BAKARE
Authorized Official First Name:
OMOLOLA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-651-2268

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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