Provider Demographics
NPI:1639355480
Name:SILAS HOME HEALTH INCORPORATED
Entity Type:Organization
Organization Name:SILAS HOME HEALTH INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:UDOCHUKWU
Authorized Official - Last Name:ANYASOR
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:713-782-1121
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD
Mailing Address - Street 2:#101B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:713-782-1121
Mailing Address - Fax:713-785-4806
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:#101B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:713-782-1121
Practice Address - Fax:713-785-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008320251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK06781684Medicaid