Provider Demographics
| NPI: | 1508459678 |
|---|---|
| Name: | P&K HEALTH CARE SERVICES |
| Entity type: | Organization |
| Organization Name: | P&K HEALTH CARE SERVICES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KATRINA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WILLIAMS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 281-461-3294 |
| Mailing Address - Street 1: | 10998 S WILCREST DR STE 190 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77099-3581 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 281-461-3294 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 12214 PLUMPOINT DR |
| Practice Address - Street 2: | |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77099-3138 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 832-329-3200 |
| Practice Address - Fax: | 877-447-4785 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-02-18 |
| Last Update Date: | 2021-03-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | |
| No | 171W00000X | Other Service Providers | Contractor | Group - Multi-Specialty |