Provider Demographics
NPI:1609870021
Name:B & H HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:B & H HEALTH SERVICES, INC.
Other - Org Name:ROADRUNNER HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JANUARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-874-0042
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:CLARENDON
Mailing Address - State:TX
Mailing Address - Zip Code:79226-0220
Mailing Address - Country:US
Mailing Address - Phone:806-874-0042
Mailing Address - Fax:806-874-0049
Practice Address - Street 1:200 S. GOODNIGHT
Practice Address - Street 2:
Practice Address - City:CLARENDON
Practice Address - State:TX
Practice Address - Zip Code:79226-0220
Practice Address - Country:US
Practice Address - Phone:806-874-0042
Practice Address - Fax:806-874-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12425251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178186601Medicaid
TX178186601Medicaid