Provider Demographics
NPI:1164422887
Name:MARTINDALE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:MARTINDALE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-358-8688
Mailing Address - Street 1:27105 REGAL GREEN LN
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5000
Mailing Address - Country:US
Mailing Address - Phone:281-358-8688
Mailing Address - Fax:281-358-8657
Practice Address - Street 1:27105 REGAL GREEN LN
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5000
Practice Address - Country:US
Practice Address - Phone:281-358-8688
Practice Address - Fax:281-358-8657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008705251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679497Medicare ID - Type UnspecifiedHOME HEALTH AGENCY