Provider Demographics
NPI:1063504462
Name:HCY HOME HEALTH INC.
Entity Type:Organization
Organization Name:HCY HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FOLUKE
Authorized Official - Middle Name:YESSY
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-272-7523
Mailing Address - Street 1:8323 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 772
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1615
Mailing Address - Country:US
Mailing Address - Phone:713-272-7523
Mailing Address - Fax:713-272-7528
Practice Address - Street 1:8323 SOUTHWEST FWY
Practice Address - Street 2:SUITE 772
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1615
Practice Address - Country:US
Practice Address - Phone:713-272-7523
Practice Address - Fax:713-272-7528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009487251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013697Medicaid
TX001013208Medicaid
TX001013207Medicaid
TX679119Medicare ID - Type Unspecified