Provider Demographics
NPI:1801800156
Name:ST.AGNES HEALTHCARE PROFESSIONALS,INC
Entity type:Organization
Organization Name:ST.AGNES HEALTHCARE PROFESSIONALS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:MOSES
Authorized Official - Last Name:ESHIET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-6333
Mailing Address - Street 1:PO BOX 2269
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-2269
Mailing Address - Country:US
Mailing Address - Phone:713-777-6333
Mailing Address - Fax:713-777-6332
Practice Address - Street 1:12202 DOVER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2826
Practice Address - Country:US
Practice Address - Phone:713-777-6333
Practice Address - Fax:713-777-6332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009977251E00000X
251J00000X, 253Z00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009977OtherHOMEHEALTH AGENCY
TX009977OtherHOMEHEALTH AGENCY