Provider Demographics
NPI:1326138181
Name:MOODY HEALTH SYSTEMS CORPORATION
Entity Type:Organization
Organization Name:MOODY HEALTH SYSTEMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-501-0333
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:281-501-0333
Mailing Address - Fax:281-501-0403
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:STE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:281-501-0333
Practice Address - Fax:281-501-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX800718828OtherARTICLE OF INCOPORATION