Healthcare Provider Details

I. General information

NPI: 1215737655
Provider Name (Legal Business Name): WESTERN MIDDLE HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17011 DEVON DOGWOOD TRL
RICHMOND TX
77407-2950
US

IV. Provider business mailing address

17011 DEVON DOGWOOD TRL
RICHMOND TX
77407-2950
US

V. Phone/Fax

Practice location:
  • Phone: 832-708-6421
  • Fax:
Mailing address:
  • Phone: 832-708-6421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. VINCENT NWACHUKWU
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-708-6421