Healthcare Provider Details

I. General information

NPI: 1992733000
Provider Name (Legal Business Name): CONSOLIDATED HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S KAUFMAN ST
NEWTON TX
75966-3617
US

IV. Provider business mailing address

PO BOX 812 411 S. KAUFMAN STREET
NEWTON TX
75966-0812
US

V. Phone/Fax

Practice location:
  • Phone: 409-379-2268
  • Fax: 409-379-3183
Mailing address:
  • Phone: 409-379-2268
  • Fax: 409-379-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number017473
License Number StateTX

VIII. Authorized Official

Name: MRS. GLORIA D JONES
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 409-379-2268