Provider Demographics
NPI:1093981078
Name:SEFAN HEALTHCARE SERVICES,INC.
Entity Type:Organization
Organization Name:SEFAN HEALTHCARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:B ED, CDA
Authorized Official - Phone:713-541-2588
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:SUITE 770
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:713-541-2588
Mailing Address - Fax:
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:SUITE 770
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:713-541-2588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEFAN HEALTHCARE SERVICES,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-30
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010497251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679797Medicare Oscar/Certification