Healthcare Provider Details

I. General information

NPI: 1194891986
Provider Name (Legal Business Name): EVANGEL HEALTHCARE CHARITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6464 SAVOY DR STE 825
HOUSTON TX
77036-3395
US

IV. Provider business mailing address

PO BOX 35447
HOUSTON TX
77235-5447
US

V. Phone/Fax

Practice location:
  • Phone: 713-432-7330
  • Fax: 713-432-7331
Mailing address:
  • Phone: 713-432-7330
  • Fax: 713-432-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008533
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number008533
License Number StateTX

VIII. Authorized Official

Name: MERCY IROH
Title or Position: PRESIDENT
Credential:
Phone: 713-923-6620