1619084126 NPI number — CITYWIDE HOME HEALTH SERVICES INC.

Table of content: (NPI 1619084126)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619084126 NPI number — CITYWIDE HOME HEALTH SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITYWIDE HOME HEALTH 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:
6
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:
1619084126
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7700 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 330
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-4456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-660-6671
Provider Business Mailing Address Fax Number:
713-660-6771

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7700 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 330
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-4456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-660-6671
Provider Business Practice Location Address Fax Number:
713-660-6771
Provider Enumeration Date:
08/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KATHARANI
Authorized Official First Name:
HARISH
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-660-6671

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  002801 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251F00000X , with the licence number: 002801 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QI0500X , with the licence number: 002801 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 82696 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 023875001 . This is a "COMMUNITY HEALTH CHOICE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 750581 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10018236 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 023875001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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