Provider Demographics
NPI:1205161312
Name:STEADFAST HEALTHCARE LLC
Entity type:Organization
Organization Name:STEADFAST HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-641-9713
Mailing Address - Street 1:13311 ARLON TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3475
Mailing Address - Country:US
Mailing Address - Phone:832-641-9713
Mailing Address - Fax:281-531-7645
Practice Address - Street 1:13311 ARLON TRL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3475
Practice Address - Country:US
Practice Address - Phone:832-641-9713
Practice Address - Fax:281-531-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health