Healthcare Provider Details

I. General information

NPI: 1144338849
Provider Name (Legal Business Name): CHANNELVIEW HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15201 EAST FWY SUITE 114
CHANNELVIEW TX
77530-4131
US

IV. Provider business mailing address

15201 EAST FWY SUITE 114
CHANNELVIEW TX
77530-4131
US

V. Phone/Fax

Practice location:
  • Phone: 281-860-0200
  • Fax: 281-452-0201
Mailing address:
  • Phone: 281-860-0200
  • Fax: 281-452-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH DAVID
Title or Position: ADMINISTRATOR
Credential:
Phone: 281-860-0200