Provider Demographics
NPI:1619084126
Name:CITYWIDE HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:CITYWIDE HOME HEALTH SERVICES INC.
Other - Org Name:SOUTHSIDE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:D
Authorized Official - Last Name:KATHARANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-660-6671
Mailing Address - Street 1:7700 MAIN ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4456
Mailing Address - Country:US
Mailing Address - Phone:713-660-6671
Mailing Address - Fax:713-660-6771
Practice Address - Street 1:7700 MAIN ST
Practice Address - Street 2:SUITE 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4456
Practice Address - Country:US
Practice Address - Phone:713-660-6671
Practice Address - Fax:713-660-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002801251E00000X, 251F00000X, 261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82696Medicaid
TN023875001OtherCOMMUNITY HEALTH CHOICE
TX750581OtherBCBS
TX10018236Medicaid
TX023875001Medicaid
TX10018236Medicaid
TX82696Medicaid