Provider Demographics
NPI:1073549531
Name:SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-778-5705
Mailing Address - Street 1:6200 N BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-7536
Mailing Address - Country:US
Mailing Address - Phone:713-778-5700
Mailing Address - Fax:713-995-6004
Practice Address - Street 1:6200 N BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-7536
Practice Address - Country:US
Practice Address - Phone:713-778-5700
Practice Address - Fax:713-995-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117057310400000X
TX111362313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000400001Medicaid
TX676152Medicare PIN