Provider Demographics
NPI:1326597212
Name:QUICKSTEP HEALTHCARE
Entity Type:Organization
Organization Name:QUICKSTEP HEALTHCARE
Other - Org Name:QUICKSTEP HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-322-6056
Mailing Address - Street 1:13531 LA CONCHA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5144
Mailing Address - Country:US
Mailing Address - Phone:832-322-6056
Mailing Address - Fax:832-417-3042
Practice Address - Street 1:13531 LA CONCHA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:832-322-6056
Practice Address - Fax:832-417-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health