Provider Demographics
NPI:1568447084
Name:NURSING RESOURCE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NURSING RESOURCE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-937-7468
Mailing Address - Street 1:8303 WINDFERN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1550
Mailing Address - Country:US
Mailing Address - Phone:713-937-7468
Mailing Address - Fax:713-937-8720
Practice Address - Street 1:8303 WINDFERN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1550
Practice Address - Country:US
Practice Address - Phone:713-937-7468
Practice Address - Fax:713-937-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006197251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678474Medicare ID - Type Unspecified
678474Medicare Oscar/Certification