Provider Demographics
NPI:1578572848
Name:STEADFAST HOME COMPANION SERVICES, INC.
Entity Type:Organization
Organization Name:STEADFAST HOME COMPANION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELI
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-333-9590
Mailing Address - Street 1:9894 BISSONNET ST STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8246
Mailing Address - Country:US
Mailing Address - Phone:713-333-9590
Mailing Address - Fax:713-333-9592
Practice Address - Street 1:9894 BISSONNET ST STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8246
Practice Address - Country:US
Practice Address - Phone:713-333-9590
Practice Address - Fax:713-333-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10447251E00000X
TX010447251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health