1588745061 NPI number — HOUSTON COMPASSIONATE CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588745061 NPI number — HOUSTON COMPASSIONATE CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSTON COMPASSIONATE CARE 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:
COMPASSIONATE CARE HOME HEALTH SERVICES
Provider Other Organization Name Type Code:
3
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:
1588745061
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 742168
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-779-8400
Provider Business Mailing Address Fax Number:
713-779-8464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9888 BISSONNET ST SUITE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-779-8400
Provider Business Practice Location Address Fax Number:
713-779-8464
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
VALNITA
Authorized Official Middle Name:
RENA
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
713-779-8400

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  005349 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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