Provider Demographics
NPI:1821039603
Name:FACIA CORPORATION
Entity Type:Organization
Organization Name:FACIA CORPORATION
Other - Org Name:AMERICAN HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:FACIA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-8146
Mailing Address - Street 1:8323 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1615
Mailing Address - Country:US
Mailing Address - Phone:713-995-8146
Mailing Address - Fax:713-995-8169
Practice Address - Street 1:8323 SOUTHWEST FWY
Practice Address - Street 2:SUITE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1615
Practice Address - Country:US
Practice Address - Phone:713-995-8146
Practice Address - Fax:713-995-8169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010448251E00000X
TX0090965332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1987976Medicaid
TX6360810001Medicare NSC
TX1987976Medicaid