Provider Demographics
NPI:1962646406
Name:COUNTY HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:COUNTY HEALTHCARE INCORPORATED
Other - Org Name:COUNTY HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-4000
Mailing Address - Street 1:13111 WESTHEIMER RD STE 121-A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5546
Mailing Address - Country:US
Mailing Address - Phone:713-541-4000
Mailing Address - Fax:713-541-4002
Practice Address - Street 1:13111 WESTHEIMER RD
Practice Address - Street 2:SUITE 121
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5546
Practice Address - Country:US
Practice Address - Phone:713-541-4000
Practice Address - Fax:713-541-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016619251E00000X
3747P1801X
TX16619251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
747400Medicare Oscar/Certification