Provider Demographics
NPI:1669456802
Name:CLASS HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:CLASS HEALTHCARE SERVICES INC
Other - Org Name:CLASS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:A
Authorized Official - Last Name:EGWIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-888-0500
Mailing Address - Street 1:4615 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 478
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7108
Mailing Address - Country:US
Mailing Address - Phone:713-888-0500
Mailing Address - Fax:713-888-0707
Practice Address - Street 1:4615 SOUTHWEST FWY
Practice Address - Street 2:SUITE 478
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7108
Practice Address - Country:US
Practice Address - Phone:713-888-0500
Practice Address - Fax:713-888-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009971251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009971Medicaid
TX457820Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
457820Medicare UPIN