Provider Demographics
NPI:1194600296
Name:MEMORIAL HEALTH LLC
Entity type:Organization
Organization Name:MEMORIAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KANAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-254-5439
Mailing Address - Street 1:3300 S GESSNER RD
Mailing Address - Street 2:STE 117
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5374
Mailing Address - Country:US
Mailing Address - Phone:832-463-3719
Mailing Address - Fax:210-463-3719
Practice Address - Street 1:3300 S GESSNER RD
Practice Address - Street 2:STE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5374
Practice Address - Country:US
Practice Address - Phone:832-463-3719
Practice Address - Fax:210-463-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care