1598098279 NPI number — SILVER-SPRING HOME HEALTHCARE SERVICES INC

Table of content: (NPI 1598098279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598098279 NPI number — SILVER-SPRING HOME HEALTHCARE SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVER-SPRING 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:
SILVER-SPRING HEALTHCARE 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:
1598098279
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25700 INTERSTATE 45 N STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77386-1967
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:
25700 INTERSTATE 45 N STE 440
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77386-1967
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:
09/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BAKARE
Authorized Official First Name:
LOLA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
281-727-6308

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  013290 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 220736701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 220736702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 220736703 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".