Provider Demographics
NPI:1184648537
Name:CHIAP HEALTH & REHAB SERVICE
Entity Type:Organization
Organization Name:CHIAP HEALTH & REHAB SERVICE
Other - Org Name:HIS CARING ARMS HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CHUKWUNWIKE
Authorized Official - Last Name:AZIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-6520
Mailing Address - Street 1:PO BOX 710934
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0934
Mailing Address - Country:US
Mailing Address - Phone:713-541-6520
Mailing Address - Fax:713-541-6521
Practice Address - Street 1:11410 MARTIN LUTHER KING JR. BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77271-0934
Practice Address - Country:US
Practice Address - Phone:713-541-6520
Practice Address - Fax:713-541-6521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009817251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677998Medicare Oscar/Certification
TX67-7998Medicare UPIN