Healthcare Provider Details

I. General information

NPI: 1245271030
Provider Name (Legal Business Name): EVANGEL HEALTH CARE CHARITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 TRAWOOD DR SUITE B1
EL PASO TX
79935
US

IV. Provider business mailing address

P.O. BOX 35447
HOUSTON TX
77235-5447
US

V. Phone/Fax

Practice location:
  • Phone: 915-351-1790
  • Fax: 915-351-1924
Mailing address:
  • Phone: 713-432-7330
  • Fax: 713-432-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009985
License Number StateTX

VIII. Authorized Official

Name: MERCY IROH
Title or Position: PRESIDENT
Credential:
Phone: 713-432-7330