Provider Demographics
NPI:1063657922
Name:24/7 STAT CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:24/7 STAT CARE HOME HEALTH SERVICES, INC.
Other - Org Name:PARKWAY HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-741-7783
Mailing Address - Street 1:10311 W AIRPORT BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3344
Mailing Address - Country:US
Mailing Address - Phone:281-741-7783
Mailing Address - Fax:281-978-2178
Practice Address - Street 1:10311 W AIRPORT BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3344
Practice Address - Country:US
Practice Address - Phone:281-741-7783
Practice Address - Fax:281-978-2178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-07
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2881898Medicaid
TX747497OtherMEDICARE PTAN
TX2881898Medicaid