Provider Demographics
NPI:1639403793
Name:BERRY ENTERPRISE & CONSULTING
Entity Type:Organization
Organization Name:BERRY ENTERPRISE & CONSULTING
Other - Org Name:OPEN ACESS VISITING HEALTHCARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PROVIDER SERVICES
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, APRN
Authorized Official - Phone:713-585-6017
Mailing Address - Street 1:10223 BROADWAY ST
Mailing Address - Street 2:SUITE P-604
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7880
Mailing Address - Country:US
Mailing Address - Phone:713-585-6017
Mailing Address - Fax:
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:SUITE 650M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-585-6017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty