1922180264 NPI number — GASPY HOME HEALTHCARE, INC.

Table of content: (NPI 1922180264)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922180264 NPI number — GASPY HOME HEALTHCARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GASPY HOME HEALTHCARE, 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:
1922180264
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 920920
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:
77292-0920
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-742-0615
Provider Business Mailing Address Fax Number:
713-695-0323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 NORTH LOOP WEST
Provider Second Line Business Practice Location Address:
STE 432
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-742-0615
Provider Business Practice Location Address Fax Number:
713-695-0323
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GACITUA
Authorized Official First Name:
ELENA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
713-742-0615

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  009885 , 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)

  • Identifier: 6000520 . This is a "EVERCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 009885 . This is a "LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001014701 . This is a "VENDOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 178033001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: S001014701 . This is a "LTSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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