Provider Demographics
NPI:1790794071
Name:FLANEL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:FLANEL HEALTHCARE SERVICES LLC
Other - Org Name:KRISTEL HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR DON DIRECTOR OF NURSIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BABALOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-633-2800
Mailing Address - Street 1:301 SOUTH 9TH STREET
Mailing Address - Street 2:SUITE #204
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469
Mailing Address - Country:US
Mailing Address - Phone:281-633-2800
Mailing Address - Fax:281-633-2601
Practice Address - Street 1:301 SOUTH 9TH STREET
Practice Address - Street 2:SUITE #204
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469
Practice Address - Country:US
Practice Address - Phone:281-633-2800
Practice Address - Fax:281-633-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010565251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010565OtherSTATE LICENSE