1023185667 NPI number — DIVERSIFIED HEALTH CARE INC

Table of content: (NPI 1023185667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023185667 NPI number — DIVERSIFIED HEALTH CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIVERSIFIED HEALTH CARE 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:
DIVERSIFIED HEALTH CARE INC.
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:
1023185667
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8200 WEDNESBURY LN STE 235
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:
77074-2943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-771-5535
Provider Business Mailing Address Fax Number:
713-771-5516

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8200 WEDNESBURY LN STE 235
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-771-5535
Provider Business Practice Location Address Fax Number:
713-771-5516
Provider Enumeration Date:
11/29/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MORAH
Authorized Official First Name:
TONY
Authorized Official Middle Name:
UBAKA
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
713-771-5535

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  008421 , 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)