Provider Demographics
NPI:1851492011
Name:KINGSPOINT HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:KINGSPOINT HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:NGOLE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:713-378-4488
Mailing Address - Street 1:10900 KINGSPOINT RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4103
Mailing Address - Country:US
Mailing Address - Phone:713-378-4488
Mailing Address - Fax:713-378-4477
Practice Address - Street 1:10900 KINGSPOINT RD
Practice Address - Street 2:SUITE 10
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4103
Practice Address - Country:US
Practice Address - Phone:713-378-4488
Practice Address - Fax:713-378-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008679251E00000X
TX67-9107251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679-107Medicare PIN
TX679107Medicare ID - Type UnspecifiedHOME HEALTH