1457664054 NPI number — ANGELOPOLIS HOME HEALTH SERVICES

Table of content: KARLEE SUZANNE WINDMILLER MD (NPI 1992449912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457664054 NPI number — ANGELOPOLIS HOME HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANGELOPOLIS HOME HEALTH SERVICES
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:
1457664054
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1708 JENKINS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77506-4980
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-276-7057
Provider Business Mailing Address Fax Number:
713-920-1983

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1708 JENKINS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77506-4980
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-276-7057
Provider Business Practice Location Address Fax Number:
713-920-1983
Provider Enumeration Date:
07/23/2010

Additional Information

Authorized Official

Authorized Official Last Name:
VELAZQUEZ
Authorized Official First Name:
HOGLA
Authorized Official Middle Name:
BELLINDA
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
832-276-7057

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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