Provider Demographics
NPI:1922180264
Name:GASPY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:GASPY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GACITUA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-742-0615
Mailing Address - Street 1:PO BOX 920920
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-0920
Mailing Address - Country:US
Mailing Address - Phone:713-742-0615
Mailing Address - Fax:713-695-0323
Practice Address - Street 1:1919 NORTH LOOP WEST
Practice Address - Street 2:STE 432
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:713-742-0615
Practice Address - Fax:713-695-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009885251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6000520OtherEVERCARE
TX009885OtherLICENSE
TX001014701OtherVENDOR
TX178033001Medicaid
TXS001014701OtherLTSS
TX178033001Medicaid
TXS001014701Medicare PIN
TX009885Medicare UPIN