MEDICARE: SIMPLEX HEALTH AND ALLIED SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1801265376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLEX HEALTH AND ALLIED SERVICE INC

Provider Business Mailing Address
First Line	:	5715 SALUDA CREEK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-5807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5715 SALUDA CREEK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-5807
Country	:	US
Telephone Number	:	713-334-7266
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. UDO NNAJI
Credential	:
Telephone Number	:	713-334-7266

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	09/15/2015

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