Provider Demographics
NPI:1639353535
Name:BAPTIST HOME CARE PROVIDERS, INC
Entity type:Organization
Organization Name:BAPTIST HOME CARE PROVIDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:IGHODARO
Authorized Official - Last Name:ORIAKHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-334-9973
Mailing Address - Street 1:6610 HARWIN DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2232
Mailing Address - Country:US
Mailing Address - Phone:713-334-9973
Mailing Address - Fax:713-334-0204
Practice Address - Street 1:6610 HARWIN DR
Practice Address - Street 2:SUITE 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2232
Practice Address - Country:US
Practice Address - Phone:713-334-9973
Practice Address - Fax:713-334-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010458251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679562Medicare Oscar/Certification