Provider Demographics
NPI:1801190806
Name:NIGHTINGALE OF HOUSTON, INC
Entity Type:Organization
Organization Name:NIGHTINGALE OF HOUSTON, INC
Other - Org Name:NIGHTINGALE HOME HEALTHCARE OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEV
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-334-7777
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46082-1710
Mailing Address - Country:US
Mailing Address - Phone:866-334-7777
Mailing Address - Fax:866-878-0094
Practice Address - Street 1:235 NE LOOP 820 STE 208
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-7353
Practice Address - Country:US
Practice Address - Phone:817-566-1181
Practice Address - Fax:866-878-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679084Medicare UPIN