Healthcare Provider Details

I. General information

NPI: 1619084126
Provider Name (Legal Business Name): CITYWIDE HOME HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 MAIN ST SUITE 330
HOUSTON TX
77030-4456
US

IV. Provider business mailing address

7700 MAIN ST SUITE 330
HOUSTON TX
77030-4456
US

V. Phone/Fax

Practice location:
  • Phone: 713-660-6671
  • Fax: 713-660-6771
Mailing address:
  • Phone: 713-660-6671
  • Fax: 713-660-6771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number002801
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number002801
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number002801
License Number StateTX

VIII. Authorized Official

Name: MR. HARISH D. KATHARANI
Title or Position: PRESIDENT
Credential: RPH
Phone: 713-660-6671