Provider Demographics
NPI:1235104449
Name:APPLIED HEALTH, INC
Entity Type:Organization
Organization Name:APPLIED HEALTH, INC
Other - Org Name:APPLIED HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-477-5105
Mailing Address - Street 1:12826 SHILOH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-1208
Mailing Address - Country:US
Mailing Address - Phone:713-477-5105
Mailing Address - Fax:713-477-5155
Practice Address - Street 1:12826 SHILOH CHURCH RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1208
Practice Address - Country:US
Practice Address - Phone:713-477-5105
Practice Address - Fax:713-477-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005125251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459233Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID