Provider Demographics
NPI:1235475617
Name:A-CARE HOME HEALTH SERVICES OF EAST HOUSTON, INC.
Entity Type:Organization
Organization Name:A-CARE HOME HEALTH SERVICES OF EAST HOUSTON, INC.
Other - Org Name:GENUS PATRIS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MERRIDINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:MAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-569-8972
Mailing Address - Street 1:5315 BISSONNET STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3958
Mailing Address - Country:US
Mailing Address - Phone:713-569-8972
Mailing Address - Fax:713-665-6176
Practice Address - Street 1:5315 BISSONNET STREET
Practice Address - Street 2:SUITE A
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3958
Practice Address - Country:US
Practice Address - Phone:713-569-8972
Practice Address - Fax:713-665-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013462251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX513355OtherTHE JOINT COMMISSION
TX671682Medicare Oscar/Certification