Provider Demographics
NPI:1578909909
Name:NURSE ON CALL OF HOUSTON, INC.
Entity Type:Organization
Organization Name:NURSE ON CALL OF HOUSTON, INC.
Other - Org Name:NURSE ON CALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-586-9148
Mailing Address - Street 1:1926 10TH AVE N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3369
Mailing Address - Country:US
Mailing Address - Phone:561-586-9148
Mailing Address - Fax:561-586-9369
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:713-885-0953
Practice Address - Fax:713-885-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016009251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457936Medicare Oscar/Certification