Provider Demographics
NPI:1942206644
Name:BAYOU CITY HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:BAYOU CITY HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:H.R. MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-922-7085
Mailing Address - Street 1:17223 MERCURY DRIVE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-922-7085
Mailing Address - Fax:281-922-7884
Practice Address - Street 1:17223 MERCURY DRIVE
Practice Address - Street 2:SUITE #100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-922-7085
Practice Address - Fax:281-922-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008467251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679347OtherMCARE ID
TX163328101Medicaid
TX679347OtherMCARE ID