Provider Demographics
NPI:1922279538
Name:TIMELESS HOME HEALTHSERVICES, INC.
Entity Type:Organization
Organization Name:TIMELESS HOME HEALTHSERVICES, INC.
Other - Org Name:TIMELESS HOME HEALTH SERVICES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR /EXEC. DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEKEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWAKANMA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LNHA, MPA,
Authorized Official - Phone:713-271-5814
Mailing Address - Street 1:PO BOX 300889
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-0889
Mailing Address - Country:US
Mailing Address - Phone:713-271-5814
Mailing Address - Fax:713-270-7396
Practice Address - Street 1:8506 OLD BROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2442
Practice Address - Country:US
Practice Address - Phone:713-271-5814
Practice Address - Fax:713-270-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-23
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010331251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679756Medicare Oscar/Certification