Provider Demographics
NPI:1184840811
Name:CLINICAL VIEW HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CLINICAL VIEW HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-802-2443
Mailing Address - Street 1:7007 GULF FWY STE 143
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2539
Mailing Address - Country:US
Mailing Address - Phone:713-802-1443
Mailing Address - Fax:713-802-1355
Practice Address - Street 1:7007 GULF FWY STE 143
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2539
Practice Address - Country:US
Practice Address - Phone:713-802-1443
Practice Address - Fax:713-802-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007544251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN NUMBER
TX679051Medicare PIN