Provider Demographics
NPI:1841684545
Name:ALLHEAL SENIOR CARE, INC.
Entity type:Organization
Organization Name:ALLHEAL SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BALSHEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-756-1111
Mailing Address - Street 1:3305 W DAVIS ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1856
Mailing Address - Country:US
Mailing Address - Phone:936-756-1111
Mailing Address - Fax:936-756-2288
Practice Address - Street 1:3305 W DAVIS ST
Practice Address - Street 2:SUITE 400
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1856
Practice Address - Country:US
Practice Address - Phone:936-756-1111
Practice Address - Fax:936-756-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherNON MEDICAL HOME CARE