Provider Demographics
NPI:1780720508
Name:ALBERTSON HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:ALBERTSON HEALTHCARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:KAZI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-5200
Mailing Address - Street 1:6105 BEVERLYHILL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6716
Mailing Address - Country:US
Mailing Address - Phone:713-779-5200
Mailing Address - Fax:713-779-5202
Practice Address - Street 1:6105 BEVERLYHILL ST STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-6716
Practice Address - Country:US
Practice Address - Phone:713-779-5200
Practice Address - Fax:713-779-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011657251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202383001Medicaid
747084Medicare Oscar/Certification