Provider Demographics
NPI:1811088297
Name:BARTHOLDI HEALTH MANAGEMENT, INC.
Entity type:Organization
Organization Name:BARTHOLDI HEALTH MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-652-2141
Mailing Address - Street 1:6755 PHELAN BLVD
Mailing Address - Street 2:SUITE #22
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6075
Mailing Address - Country:US
Mailing Address - Phone:844-946-6332
Mailing Address - Fax:888-891-3521
Practice Address - Street 1:6755 PHELAN BLVD
Practice Address - Street 2:SUITE #22
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6075
Practice Address - Country:US
Practice Address - Phone:844-946-6332
Practice Address - Fax:888-891-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001001218OtherPHC DADS
TX001001219OtherCBA DADS
TX025207401Medicaid
TX001001219OtherCBA DADS