Provider Demographics
NPI:1841577533
Name:I.J. HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:I.J. HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-4849
Mailing Address - Street 1:13407 QUEENSLAND WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6392
Mailing Address - Country:US
Mailing Address - Phone:713-779-4849
Mailing Address - Fax:713-779-1252
Practice Address - Street 1:9894 BISSONNET ST STE 810
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8272
Practice Address - Country:US
Practice Address - Phone:713-779-4849
Practice Address - Fax:713-779-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014509251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health