=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346462413
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BATHFOL HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2007
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9119 S GESSNER RD STE 104
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-2845
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-962-8970
-----------------------------------------------------
Fax | 832-962-8930
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9119 S GESSNER RD STE 104
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-2845
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-962-8970
-----------------------------------------------------
Fax | 832-962-8930
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. FLORA OKHAIFOH
-----------------------------------------------------
Credential | LVN
-----------------------------------------------------
Telephone | 832-962-8970
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 017514
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------