Healthcare Provider Details

I. General information

NPI: 1942365606
Provider Name (Legal Business Name): GEVIL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2006
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 RIVERCHASE DR
RICHMOND TX
77469-6264
US

IV. Provider business mailing address

1218 RIVERCHASE DR
RICHMOND TX
77469-6264
US

V. Phone/Fax

Practice location:
  • Phone: 832-298-0089
  • Fax:
Mailing address:
  • Phone: 832-298-0089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IFY OBI
Title or Position: COORDINATOR
Credential:
Phone: 832-298-0089