Provider Demographics
NPI:1598324303
Name:SIDON HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:SIDON HEALTHCARE SERVICES, INC.
Other - Org Name:AMERICAN HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:HIJAZI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-230-7896
Mailing Address - Street 1:7900 WESTHEIMER RD APT 144
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3069
Mailing Address - Country:US
Mailing Address - Phone:832-230-7896
Mailing Address - Fax:832-615-0459
Practice Address - Street 1:6201 BONHOMME RD STE 468S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4476
Practice Address - Country:US
Practice Address - Phone:832-230-7896
Practice Address - Fax:832-615-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health