1518989466 NPI number — GULF COAST NURSING SERVICES, 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 1518989466 NPI number — GULF COAST NURSING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GULF COAST NURSING 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:
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:
1518989466
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8876 GULF FREEWAY
Provider Second Line Business Mailing Address:
STE 245
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-946-3377
Provider Business Mailing Address Fax Number:
713-946-0926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8876 GULF FREEWAY
Provider Second Line Business Practice Location Address:
STE 245
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-946-3377
Provider Business Practice Location Address Fax Number:
713-946-0926
Provider Enumeration Date:
07/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AISUENI
Authorized Official First Name:
MABEL
Authorized Official Middle Name:
Authorized Official Title or Position:
ALTERNANTE ADMINISTRATOR
Authorized Official Telephone Number:
713-946-3377

Provider Taxonomy Codes

  • Taxonomy code: 163WH0200X , with the licence number:  009387 , 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)