Provider Demographics
NPI:1154492023
Name:ACTS V HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:ACTS V HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELUS
Authorized Official - Middle Name:CALDWELL
Authorized Official - Last Name:GOODE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-774-8950
Mailing Address - Street 1:4119 STILLWATER DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1731
Mailing Address - Country:US
Mailing Address - Phone:713-774-8950
Mailing Address - Fax:713-774-8955
Practice Address - Street 1:4119 STILLWATER DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1731
Practice Address - Country:US
Practice Address - Phone:713-774-8950
Practice Address - Fax:713-774-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011149251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health