Provider Demographics
NPI:1982653119
Name:BELOVED HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:BELOVED HOME HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGATHA
Authorized Official - Middle Name:OGECHI
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-825-7491
Mailing Address - Street 1:9888 BISSONNET ST STE 430
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8249
Mailing Address - Country:US
Mailing Address - Phone:713-825-7491
Mailing Address - Fax:713-776-9382
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:#430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:713-776-9333
Practice Address - Fax:713-776-9382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX006711302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458287Medicare Oscar/Certification