Provider Demographics
NPI:1336238385
Name:HANSON HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:HANSON HEALTH SERVICES, INC.
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OYEBAMIJI
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, JD
Authorized Official - Phone:713-783-7027
Mailing Address - Street 1:9900 WESTPARK DR
Mailing Address - Street 2:SUITE # 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5138
Mailing Address - Country:US
Mailing Address - Phone:713-783-7027
Mailing Address - Fax:713-783-0491
Practice Address - Street 1:9900 WESTPARK DR
Practice Address - Street 2:SUITE # 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5138
Practice Address - Country:US
Practice Address - Phone:713-783-7027
Practice Address - Fax:713-783-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010481251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679441Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER