Provider Demographics
NPI:1417071200
Name:A&T MULTI-HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:A&T MULTI-HEALTHCARE SERVICES LLC
Other - Org Name:ATM HCS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMAH
Authorized Official - Middle Name:MOSES
Authorized Official - Last Name:FOMUNYOH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:713-723-0425
Mailing Address - Street 1:7100 REGENCY SQUARE BLVD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3202
Mailing Address - Country:US
Mailing Address - Phone:713-723-0425
Mailing Address - Fax:713-728-9224
Practice Address - Street 1:7100 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3187
Practice Address - Country:US
Practice Address - Phone:713-723-0425
Practice Address - Fax:713-728-9224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010423251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679633Medicare ID - Type UnspecifiedHOME HEALTH AGENCY