Provider Demographics
NPI:1194463299
Name:BEULAH HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:BEULAH HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIDIOGO
Authorized Official - Middle Name:
Authorized Official - Last Name:EBENMELU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NP
Authorized Official - Phone:832-203-7308
Mailing Address - Street 1:6220 WESTPARK DR STE 221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7371
Mailing Address - Country:US
Mailing Address - Phone:832-203-7308
Mailing Address - Fax:281-803-8174
Practice Address - Street 1:6220 WESTPARK DR STE 221
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7371
Practice Address - Country:US
Practice Address - Phone:832-203-7308
Practice Address - Fax:281-803-8174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty