Provider Demographics
NPI:1245399211
Name:BJ HEALTHCARE SERVICES,INC
Entity Type:Organization
Organization Name:BJ HEALTHCARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:IHEUKWU
Authorized Official - Last Name:ISIGUZO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:713-995-9700
Mailing Address - Street 1:2323 S VOSS RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3814
Mailing Address - Country:US
Mailing Address - Phone:713-995-9700
Mailing Address - Fax:713-771-9702
Practice Address - Street 1:2323 S VOSS RD
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3814
Practice Address - Country:US
Practice Address - Phone:713-995-9700
Practice Address - Fax:713-771-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009231251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009231OtherSTATE AGENCY LICENCE NO.
TX009231OtherSTATE AGENCY LICENCE NO.