MEDICARE: BJ HEALTHCARE SERVICES,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	009231	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009231	OTHER	TX	STATE AGENCY LICENCE NO.

General Provider Information

NPI Number	:	1245399211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJ HEALTHCARE SERVICES,INC

Provider Business Mailing Address
First Line	:	2323 S VOSS RD
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77057-3814
Country	:	US
Telephone Number	:	713-995-9700
Fax Number	:	713-771-9702

Provider Business Practice Location Address
First Line	:	2323 S VOSS RD
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77057-3814
Country	:	US
Telephone Number	:	713-995-9700
Fax Number	:	713-771-9702

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. BLESSING IHEUKWU ISIGUZO
Credential	:	REGISTERED NURSE
Telephone Number	:	713-995-9700

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	10/08/2007

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