Provider Demographics
NPI:1700929064
Name:FELVIN HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:FELVIN HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOKPEHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-880-7116
Mailing Address - Street 1:1906 SAM HOUSTON DRIVE
Mailing Address - Street 2:0410
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-1106
Mailing Address - Country:US
Mailing Address - Phone:832-880-7116
Mailing Address - Fax:713-787-6231
Practice Address - Street 1:1906 SAM HOUSTON DRIVE
Practice Address - Street 2:410
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-1106
Practice Address - Country:US
Practice Address - Phone:832-880-7116
Practice Address - Fax:713-787-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011066251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011066OtherDADS