Provider Demographics
NPI:1639378771
Name:HENFEMAT INC.
Entity Type:Organization
Organization Name:HENFEMAT INC.
Other - Org Name:HENFEMAT MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT. ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLAOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-491-8842
Mailing Address - Street 1:25722 KINGSLAND BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2650
Mailing Address - Country:US
Mailing Address - Phone:281-491-8842
Mailing Address - Fax:281-980-0485
Practice Address - Street 1:25722 KINGSLAND BLVD ST.114
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6705
Practice Address - Country:US
Practice Address - Phone:281-491-8842
Practice Address - Fax:281-980-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352557801Medicaid